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: A 45-year-old female patient with a 3-year history of chronic rhinosinusitis with nasal polyps (CRSwNP) reports a persistent frontal headache for 6 months.

History of Present Illness:
Pain:

Location: Bifrontal and perinasal
Characteristic: Continuous pressure, mild to moderate intensity (4-5/10)
Worsening: Upon waking and during acute exacerbation episodes

Nasal sinus symptoms (EPOS 2020 criteria):

Bilateral nasal obstruction >12 weeks
Daily thick posterior rhinorrhea
Progressive hyposmia/anosmia
≥4 episodes of acute exacerbation/year

Associated factors:

Moderate asthma (under treatment)
NSAID intolerance (Samter's triad)

Physical Examination:
Anterior rhinoscopy:

Bilateral nasal polyps (Meltzer grade II)
Mucopurulent secretion in the middle meatus

Nasal endoscopy:

Edema of the olfactory mucosa
Middle meatal ostium stenosis >50%

Palpation: Mild tenderness on pressure in maxillary sinuses

Neurological examination: Normal

Complementary Exams:
Computed tomography of the paranasal sinuses (Lund-Mackay):

Total score 18/24
Complete opacification of ethmoid and maxillary sinuses
Mucosal thickening >10mm in frontal sinuses

Magnetic resonance imaging (assessment of complications):

Mucocele in the left frontal sinus (2.5cm)
No orbital or intracranial invasion

Olfactory function test (Sniffin' Sticks):

Anosmia (score 3/16)

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