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, 60 years old, with poorly controlled severe hypertension, type 2 diabetes, and a history of left thalamic intracerebral hemorrhage 4 months ago.

Current Illness History:

Reports daily headache since the hemorrhagic event, with the following characteristics:

Location: Right hemicranium (contralateral to the bleeding)

Character: Pressing (intensity 5-7/10)

Exacerbated by physical exertion or postural changes

Associated symptoms:

Paresthesias in the right hemibody

Hyperesthesia on the ipsilateral scalp

No improvement with common analgesics (paracetamol, dipyrone)

No new focal neurological deficits

Current Neurological Examination:

Sequelae from the previous event:

Thermal and pain hypoesthesia in the right hemibody

Brisk reflexes in the right upper limb

Current NIHSS: 2 (due to residual sensory deficit only)

BP: 160/95 mmHg

Fundoscopy: Grade II hypertensive retinopathy

Imaging Exams:

Current Brain MRI:

Post-hemorrhagic gliosis in the left thalamus

No new bleeding or acute lesion

Moderate cortical atrophy

Control MR Angiography:

Excludes residual vascular malformation

Chronic small vessel microangiopathy

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