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.