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, 54 years old, with untreated severe hypertension and chronic alcohol use.

History of Present Illness:
Sudden onset of severe headache (9/10) in the right temporal region, 2 hours ago, described as "the worst pain of my life."

Rapid progression to mental confusion and weakness in the left hemibody.

Associated with:

Projectile vomiting (2 episodes)

Mild photophobia

No history of head trauma

Physical/Neurological Examination:
General state: GCS 13 (E3V4M6), agitated

Focal signs:

Left brachio-crural hemiparesis (2/5)

Conjugate gaze deviation to the right

Right pupil > left (anisocoria)

NIHSS: 18 (severe hemorrhagic stroke)

BP: 210/120 mmHg

Complementary Exams:
Urgent non-contrast cranial CT:

Right lobar intraparenchymal hematoma (basal ganglia)

Volume ≈ 45 mL

Moderate mass effect (midline shift 6 mm)

No associated subarachnoid hemorrhage

CT Angiography: No evident vascular malformation

Laboratory tests: INR 1.1, platelets 220,000 (excludes coagulopathy)

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