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, 32 years old, with no known comorbidities, not on chronic medications.

History of Present Illness: Chronic recurrent headache for 6 months, with superimposed acute episodes:

Location: left parietal (always in the same location)

Characteristic: pulsatile (7/10), lasting 4–12 hours

No aura, but with occasional nausea

Current episode:

Sudden onset of more intense headache (9/10) 3 hours ago

Associated with paresthesias in the right arm

No loss of consciousness or motor deficits

Neurological Examination: General state: Conscious, oriented (GCS 15)

Focal signs:

Tactile hypesthesia in the right arm (without motor deficit)

No meningeal signs

NIHSS: 1 (only for sensory deficit)

Complementary Exams: Brain MRI (with SWI):

Nodular lesion (1.5 cm) in the left parietal lobe

Characteristic "popcorn" sign (heterogeneous center with hypointense halo due to hemosiderin)

No significant perilesional edema

MR Angiography:

Absence of abnormal blood flow (excludes AVM or fistula)

EEG:

No epileptogenic activity

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