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, 72 years

Background: Recent onset dementia (last 2 years), well-controlled hypertension

Medications: Ramipril 5mg/day, Donepezil 10mg/day

Family History: Father with Alzheimer's disease

History of Present Illness (HPI): Main symptom: Recurrent episodes of visual disturbances for 3 months

Characteristics of episodes:

Positive symptoms (zigzag photopsias)

Duration: 15-40 minutes

Frequency: 1-2 times/week

No associated headache

Occasionally followed by transient confusion (30-60 minutes)

Physical/Neurological Examination:

Mental status: MMSE 24/30 (deficits in recent memory and temporal orientation)

Neurological:

Brisk and symmetrical reflexes

Slightly unstable gait

No other focal deficits

Complementary Examinations:

Brain MRI:

Multiple cortical and subcortical microhemorrhages (predominantly occipital)

Marked hemosiderin deposits

Moderate leukoaraiosis

Amyloid PET: Positive pattern compatible with amyloid deposition

CSF: Total protein 55mg/dL, reduced beta-amyloid 42

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