Case 72 · ICHD-3 10.4

10.4 Headache attributed to hypothyroidism

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 45-year-old woman with a history of fatigue, weight gain, and cold intolerance for 3 months reports a diffuse, non-pulsatile headache of moderate intensity, present daily for 6 weeks. The headache worsens in the morning and partially improves with common analgesics. She denies photophobia, phonophobia, or nausea. Examinations: Elevated TSH (8.2 mIU/L; reference range: 0.4–4.0), reduced free T4 (0.6 ng/dL; reference range: 0.8–1.8). Cranial MRI shows no abnormalities.

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