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, 28 years old, university student

History of Present Illness: Reports a holocranial headache of moderate to severe intensity (7/10 on the visual analog scale) for 10 days, with progressive worsening. Describes the pain as constant pressure, aggravated by the Valsalva maneuver and in the supine position. Associated with the headache, she presents with nausea, vomiting, and photophobia. Denies any previous history of similar headaches.

Relevant History:

Use of combined oral contraceptive for 3 years

History of migraine without aura since adolescence (1-2 episodes/month)

Smoking (5 cigarettes/day)

Physical Examination:

BP: 130/85 mmHg

HR: 88 bpm

Febrile: 37.8°C

Neurological: bilateral papilledema, mild neck stiffness

No motor or sensory deficits

Complementary Exams:

Cranial CT: empty delta sign

MRI + venography: thrombosis of the superior sagittal sinus

CSF: protein 65 mg/dL, normal glucose, 15 leukocytes/mm3

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