Case 570 · ICHD-3 8.2.8
8.2.8 Medication-overuse headache attributed to other medication
- 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 (1.1) since adolescence, under neurological follow-up.
Current History: Reports progressive worsening of headache over the last 3 months, with daily pain (≥15 days/month), bilateral, pressure-like or pulsatile, of moderate intensity. Reports frequent use of carisoprodol (a muscle relaxant) for associated cervical pain, on average 4 days per week for more than 3 months. Denies adequate relief with the medication. Discontinued specific analgesics for migraine (triptans) 6 months ago under medical advice.
Report this case — e.g. suspected re-identification risk.