Case 578 · ICHD-3 8.3.4

8.3.4 Headache attributed to withdrawal from chronic use of other substance

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

History: A 30-year-old female patient with a history of episodic migraine presents with a diffuse, pressure-like headache (intensity 5/10) for the past 4 days. She reports daily caffeine use (500 mg/day, via energy drinks) for 1 year, but stopped abruptly due to pregnancy. The headache began 36 hours after the last dose, without aura or associated symptoms. Neurological examination is unremarkable.

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