Case 76 · ICHD-3 10.6

10.6 Cardiac cephalalgia

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 58-year-old man, with a history of hypertension and smoking, reports a sudden and intense headache affecting the entire head during an acute myocardial infarction (confirmed by elevated troponin levels and ECG changes). The headache began simultaneously with the onset of chest pain, had a pulsatile quality, and worsened with physical exertion. The patient had no prior history of primary headaches. Both the headache and chest pain improved significantly following coronary revascularization.

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