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, 62 years old, former smoker, with a history of right thalamic cerebral infarction 6 months ago and hypercholesterolemia.

History of Present Illness:

Reports constant headache since the stroke event, located in the right hemicranium.

Characteristic: "burning" or "stabbing" pain, intensity 4-7/10.

Worsens with fatigue and emotional stress.

Associated with hyperesthesia in the right scalp.

No satisfactory response to dipyrone or paracetamol.

Neurological Examination:

Stroke sequelae: Thermal and pain hypoesthesia in the left hemibody.

Positive sign: Mechanical allodynia in the right scalp.

Current NIHSS: 3 (due to sensory deficit only).

Complementary Exams:

Brain MRI: Chronic right thalamic lesion (post-ischemic gliosis).

PET-CT: Hypoperfusion in the right parietal cortex.

EEG: No epileptiform activity.

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