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, 72 years old, with a history of trigeminal herpes zoster 4 months ago, persists with incapacitating facial pain.

History of Illness: Acute phase (2 months ago):

Vesicular rash in right V1 (ophthalmic)

Diagnosis confirmed by PCR (VZV positive)

Treated with valacyclovir 1g 3x/day for 7 days

Current pain:

Location: Right supraorbital and frontal

Characteristic:

Continuous burning (6-8/10) + stabbing paroxysms (9/10)

Severe mechanical allodynia (cannot tolerate touch of a sheet)

Associated symptoms:

"Patchy" anesthesia on the forehead

Mild neurotrophic keratitis

Physical/Neurological Examination:

Cutaneous sequela:

Hypopigmented scars in right V1

Sensory evaluation:

Thermal and pain hypoesthesia in "islands"

Dynamic allodynia (von Frey brush 4.17)

Ocular examination:

Decreased ipsilateral corneal reflex

Punctate corneal ulcer (grade I)

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