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, 45 years old

Medical History: Controlled hypertension, smoking (20 pack-years)

Risk Factors: Recent use of recreational cannabis and cocaine the previous weekend

History of Present Illness (HPI): Main symptom: Intense and sudden headache ("like a thunderclap") for 24 hours

Pain Characteristics:

Location: Bifrontal and occipital

Character: Pulsatile, thunderclap

Intensity: 9/10

Triggering factor: Appeared suddenly during intense physical activity (weightlifting)

Associated symptoms: Nausea, vomiting, and blurred vision

Course: Continuous pain, worsening with position changes

Physical/Neurological Examination:
General: Conscious, oriented, but anxious

Neurological:

No motor or sensory deficits

Normal and symmetrical reflexes

Fundoscopy: No abnormalities

Complementary Exams:
Non-contrast cranial CT: Normal

MR Angiography: Characteristic segmental narrowings in a "string of beads" pattern in the anterior and middle cerebral arteries

Lumbar puncture: Clear cerebrospinal fluid, normal pressure, no cellular or biochemical alterations

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