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: Gender/Age: Female, 28 years old.

History: History of idiopathic intracranial hypertension (IIH) diagnosed 6 months ago, currently on acetazolamide.

Previous Procedure: Angioplasty with stent placement in the right transverse sinus 48 hours ago for treatment of symptomatic venous stenosis.

History of Present Illness (HPI): Main symptom: Severe headache with sudden onset 24 hours after stent implantation.

Pain Characteristics:

Location: Holocranial.
Character: Pulsatile.
Intensity: 9/10.
Aggravation: Significant worsening with Valsalva maneuvers and lying down.

Associated Symptoms:

Nausea and vomiting.
Photophobia and phonophobia.
Right-sided pulsatile tinnitus (venous tinnitus).

Physical/Neurological Examination:
General: Patient conscious but agitated due to pain.

Neurological:

Bilateral papilledema (previously documented in IIH).
No motor or sensory deficits.
Negative Babinski sign.

Complementary Exams:
Venous sinus MR angiography: Patency of the stent in the right transverse sinus, with no evidence of thrombosis.
Lumbar puncture (performed pre-procedure): Opening CSF pressure at 28 cmH₂O (consistent with IIH).

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