Case 562 · ICHD-3 8.2.4

8.2.4 Opioid-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: A 45-year-old female patient with a history of chronic migraine reports a progressive worsening of headaches over the past 3 months. Headache History: The patient has been using codeine daily (60 mg/day) for ≥3 months to relieve migraines. Headaches occur on ≥15 days per month, with variable characteristics (pulsatile or pressure-like) and worsen upon waking. No other red flags or secondary causes have been identified, and neuroimaging is normal.

Report this case — e.g. suspected re-identification risk.