Case 60 · ICHD-3 10.2

10.2 Dialysis 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: Male patient, 58 years old, undergoing regular hemodialysis for 3 months due to end-stage chronic kidney disease.

Headache History:

Bilateral, pulsatile pain of moderate to severe intensity, without nausea, vomiting, photophobia, or phonophobia.

Onset during or shortly after hemodialysis sessions (in at least 50% of the sessions).

Duration of 4 to 6 hours, resolving spontaneously.

No prior history of migraine or tension-type headache.

Examinations/Diagnosis:

Blood pressure stable during dialysis.

Normal serum electrolytes and osmolality.

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