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: 32-year-old male patient presenting with a 5-day history of frontal headache and purulent rhinorrhea.

History of Present Illness:
Pain:

Location: Bifrontal and periorbital

Characteristic: Continuous pressure, moderate intensity (5-6/10)

Worsens: When bending the head forward and in the morning

Nasal sinus symptoms:

Bilateral purulent rhinorrhea

Complete nasal obstruction

Hyposmia

Nocturnal cough (due to postnasal drip)

Associated symptoms:

Low-grade fever (37.8°C)

Halitosis

Duration: 5 days (criterion for acute sinusitis)

Physical Examination:
Anterior rhinoscopy:

Nasal mucosa hyperemia

Mucopurulent secretion in bilateral middle meatus

Edema of inferior turbinates

Palpation: Tenderness on pressure in frontal and maxillary sinuses

Transillumination: Reduced light transmission in maxillary sinuses

Neurological examination: Normal

Complementary Exams:
Nasal endoscopy:

Purulent secretion draining from the middle meatal ostium

Computed tomography of the paranasal sinuses:

Total opacification of bilateral maxillary sinuses

Fluid levels in frontal sinuses

Mucoperiosteal thickening > 6mm

Laboratory:

Mild leukocytosis (11,200/mm³)

Elevated CRP (18 mg/dL)

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