Case 568 · ICHD-3 8.2.7
8.2.7 Medication-overuse headache attributed to unspecified or unverified overuse of multiple drug classes
- 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 history of episodic migraine since adolescence, has developed daily or almost daily headaches over the past 2 years (>15 days/month).
Medication History:
Reports frequent and indiscriminate use of paracetamol (4-5 times/week), triptans (2-3 times/week), and NSAIDs (3-4 times/week) for symptomatic relief, without regular medical supervision.
Denies use of opioids, ergotamines, or combination analgesics.
Current Condition:
Headache present ≥15 days/month for >3 months, with variable characteristics (pulsatile/pressure), moderate to severe intensity, without other warning symptoms.
Worsening frequency and resistance to usual medications.
Complementary Exams: No changes in neuroimaging (brain MRI) and laboratory tests.
Report this case — e.g. suspected re-identification risk.