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, 68 years old, with a history of hypertension, diabetes, and smoking.

History of Present Illness:

The patient reports a sudden onset of holocranial headache with moderate to severe intensity (7/10 on the visual analog scale) occurring 6 hours ago, described as "diffuse pressure."

The headache coincided with the development of right brachiocrural hemiparesis and dysarthria.

There is no photophobia, phonophobia, or nausea/vomiting. No history of trauma or similar previous headaches.

Physical/Neurological Examination:

Focal signs include left facial deviation, right hemiparesis (strength 2/5), hyperreflexia, and a positive right Babinski sign.

NIHSS: 8 (score compatible with acute ischemic stroke).

Complementary Exams:

Non-contrast cranial CT (within the first 4.5 hours): Poorly defined hypodensity in the left middle cerebral artery territory (suggestive of acute infarction).

Magnetic Resonance Imaging (confirmatory): Diffusion restriction in the left MCA territory, confirming acute cerebral infarction.

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