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: Male patient, 75 years old, with a history of trigeminal herpes zoster (left V1) 5 months ago, persists with incapacitating facial pain.

Disease History:
Acute Phase (5 months ago):
Skin Eruption:
Painful vesicles in the left ophthalmic (V1) territory
Diagnosis confirmed by PCR (VZV positive)
Treated with valacyclovir 1g 3x/day for 7 days

Initial Complications:
Herpetic keratitis
Intense acute neuralgia during the active phase

Current Pain (Postherpetic):
Location:
Left frontal and supraorbital region
Characteristics:
Continuous pain: Burning (6-8/10 on VAS)
Paroxysms: Sudden electric shocks (9/10), 10-20 episodes/day

Sensory Phenomena:
Severe mechanical allodynia (cannot tolerate pillowcase touch)
Hyperpathia to wind or warm water

Associated Symptoms:
Hypoesthesia in "islands" on the forehead
Mild ptosis due to levator paresis

Physical/Neurological Examination:
Cutaneous Sequelae:
Hypopigmented scars in left V1
Atrophic skin with decreased hair

Sensory Evaluation:
Thermal and pain hypoesthesia in patches
Dynamic allodynia (von Frey brush 4.17)

Ophthalmological Examination:
Decreased ipsilateral corneal reflex
Neurotrophic corneal ulcer (grade II)

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