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, 12 years old

History: Turner syndrome (45,X) diagnosed at 3 years

Previous History: Short stature under treatment with growth hormone, surgically corrected coarctation of the aorta

History of Present Illness (HPI): Main symptom: Progressive headache for 1 month

Pain Characteristics:

Location: Holocranial

Character: Pulsatile

Intensity: 7/10

Worsening: Upon waking and with Valsalva maneuvers

Associated Symptoms:

Frequent dizziness

Pulsatile tinnitus

Intermittent blurred vision

2 episodes of projectile vomiting

Physical/Neurological Examination:
General: Height < P3, webbed neck, low hairline

Neurological:

Bilateral grade II papilledema

Incomplete left sixth cranial nerve palsy

Symmetrical and normoreactive reflexes

No motor or sensory deficits

Complementary Exams:
MRI + MR Angiography:

Slightly reduced ventricles

Absence of venous thrombosis

Partially empty sella turcica

Lumbar Puncture:

Opening pressure: 34 cmH2O

CSF with protein 25 mg/dL, normal glucose

Karyotype: Previous confirmation of 45,X

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