Case 580 · 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 28-year-old female patient, with no previous history of headache, presents with bilateral, pressing pain (intensity 4/10) for 5 days. She reports chronic use of escitalopram (20 mg/day) for 6 months for anxiety but abruptly discontinued it on her own decision. The headache began 24 hours after the last dose, without autonomic symptoms or aura. Physical and neurological examinations are normal.

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