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:

Sex/Age: Male, 35 years

History:

Diagnosed with pseudotumor cerebri 1 year ago

Chronic use of topiramate and acetazolamide

Smoking (10 pack-years)

Grade I obesity (BMI 31)

Current Illness History:

Procedure performed: Angioplasty with stent placement in the left sigmoid sinus 36 hours ago for treatment of symptomatic venous stenosis

Main symptom: Severe headache started 12 hours after the procedure

Pain characteristics:

Location: Left occipital

Character: Pulsatile

Intensity: 8/10

Aggravating/relieving factors:

Significant worsening with postural changes

Partial improvement with intravenous analgesia

Associated symptoms:

Nausea

Blurred vision

Ipsilateral pulsatile tinnitus

Physical/Neurological Examination:

General state: Conscious, oriented, in moderate discomfort

Fundoscopy: Bilateral grade II papilledema

Neurological examination:

No motor or sensory deficits

Cranial nerves intact

Normal and symmetrical reflexes

Complementary Exams:

Venous sinus CT angiography:

Patent stent in the left sigmoid sinus

No evidence of thrombosis or contrast extravasation

Lumbar puncture (pre-procedure): CSF pressure 30 cmH2O

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