headache.bench

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: Female patient, 5 years old, with a history of 3 days of right-sided otalgia and associated headache.

History of Present Illness:
Pain:

Location: Right hemicranial (temporal and periauricular region)

Characteristic: Pulsatile, moderate to severe intensity (6/10 on the facial scale)

Aggravating factors: Chewing and right lateral decubitus

Associated symptoms:

Purulent otorrhea (started 12 hours ago)

Fever (38.5°C axillary)

Irritability and decreased appetite

Recent history: Cold 1 week ago with serous rhinorrhea

Physical Examination:
Otoscopy (Right Ear):

Hyperemic and bulging tympanic membrane

Loss of landmarks

Mucopurulent otorrhea

Positive tragus sign (pain on pressure at the tragus)

Ipsilateral cervical adenomegaly (jugulodigastric chain)

Neurological examination: Normal for age

Complementary Exams:
Tympanometry: Type B curve (indicating effusion)

Audiometry (when cooperative): Mild conductive hearing loss (25 dB)

Laboratory:

Leukocytosis (15,000/mm³) with neutrophilia

Elevated CRP (32 mg/dL)

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