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, 72 years old, Caucasian, with a history of polymyalgia rheumatica for 6 months.

History of Present Illness: Reports bilateral temporal headache for 3 weeks, progressive (intensity 7/10).

Characteristics: Burning/pulsatile pain. Worsens with palpation of the temporal arteries. Jaw claudication when chewing. Morning stiffness in girdles (>1 hour).

Associated Symptoms: Evening fever (37.8-38.2°C). Marked asthenia. Weight loss (4 kg in 2 months). Occasional blurred vision in the left eye (for 5 days).

Physical Examination: Temporal arteries: Thickened and tender on palpation. Diminished pulse on the right. Rheumatological findings: Limitation in raising upper limbs. Pain on palpation of the pelvic girdle. Visual acuity: 20/30 OD; 20/40 OS (without correction). Blood pressure: 150/90 mmHg.

Complementary Exams: Laboratory: ESR: 98 mm/h (normal value <20). CRP: 48 mg/L (normal value <5). Complete blood count: normocytic anemia (Hb 9.8 g/dL). Liver function: elevated alkaline phosphatase (320 U/L).

Temporal artery biopsy: Transmural inflammatory infiltrate. Multinucleated giant cells. Fragmentation of the internal elastic lamina.

Temporal artery Doppler ultrasound: Bilateral hypoechoic halo. >50% stenosis in the right temporal artery.

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