Case 70 · ICHD-3 10.3.5
10.3.5 Headache attributed to autonomic dysreflexia
- 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: 32-year-old male patient with a history of complete traumatic spinal cord injury (T6) 5 years ago.
Current history: Reports sudden, intense, pulsatile, bilateral headache lasting 40 minutes, associated with facial sweating, skin flushing, and nasal congestion. The headache began after bladder distension due to obstructed catheterization. Also reports nausea and blurred vision during the episode.
Physical examination: BP = 210/120 mmHg (elevated from his baseline), tachycardia, facial hyperemia. No signs of meningism or focal neurological deficit.
Investigation: Resolution of headache after catheter obstruction was relieved and blood pressure normalized.
Report this case — e.g. suspected re-identification risk.