Case 78 · 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 65-year-old woman with diabetes presents with a bilateral headache characterized by a pressing/oppressive quality, associated with unstable angina (retrosternal pain radiating to the jaw). The headache began 1 hour before the onset of chest pain and persisted until the administration of nitrates. There were no signs of stroke, intracranial hemorrhage, or other secondary causes. Catheterization confirmed critical coronary artery stenosis.

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