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: Male, 58 years.

Medical History: Hypertension, dyslipidemia, smoking (30 pack-years), previous ischemic stroke (1 year ago) due to left middle cerebral artery stenosis.

Recent Surgery: Intracranial endarterectomy of the left middle cerebral artery 48 hours ago.

History of Present Illness (HPI): Main Symptom: Severe headache started 24 hours after the surgical procedure.

Pain Characteristics:

Location: Left hemicranial, predominantly in the frontotemporal region.

Character: Pulsatile.

Intensity: 7/10.

Aggravating Factors: Worsens with head movements and coughing.

Associated Symptoms: Nausea without vomiting, mild photophobia.

Physical/Neurological Examination:

General: Patient conscious, oriented.

Neurological:

No motor or sensory deficits.

No meningeal signs.

Pupils isocoric, photoreactive.

Normal, symmetrical reflexes.

Complementary Exams:

Cranial Computed Tomography: Localized cerebral edema in the region of the procedure, without hematoma or active bleeding.

Magnetic Resonance Angiography: Patency of the left middle cerebral artery, with no evidence of thrombosis or significant vasospasm.

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