Case 66 · ICHD-3 10.3.3

10.3.3 Headache attributed to hypertensive encephalopathy

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

Patient: A 58-year-old woman with a history of poorly controlled hypertension presents to the emergency department with a progressive holocranial headache for 2 days. The headache is pulsatile and associated with nausea, vomiting, and blurred vision. She reports mild mental confusion. On examination, her blood pressure is 220/130 mmHg, and fundoscopic examination reveals papilledema. There is no focal neurological deficit. A cranial CT scan shows no acute lesions.

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