Case 560 · ICHD-3 8.2.3.3
8.2.3.3 Other non-opioid analgesic-overuse headache
- Origin
- Synthetic
- Language
- English — also available in German
- Contributed by
- Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)
Anamnesis
Identification: Female patient, 45 years old, with a 10-year history of episodic tension-type headache, reports progressive worsening of pain over the last 3 months.
Clinical History:
Headache Pattern: Daily, bilateral, pressing/tightening pain, moderate intensity (5-6/10), without nausea, photophobia, or phonophobia.
Medication Use: Reports using dipyrone (500 mg) for pain relief, on average 15 days/month over the last 3 months (total > 10 days/month). States that the headache worsens with the suspension of the analgesic and temporarily improves after a new dose.
Red Flags Ruled Out: No history of trauma, focal neurological signs, or systemic changes.
Complementary Exams: Brain MRI without alterations.
Report this case — e.g. suspected re-identification risk.