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, 58 years old

History: History of posterior fossa tumor (medulloblastoma) operated on 3 months ago, with adjuvant radiotherapy

Medications: Dexamethasone 4mg/day

History of Present Illness (HPI): Main symptom: Daily headache for 2 weeks

Pain characteristics:

Location: Frontal and occipital

Character: Continuous pressure

Intensity: 7/10

Aggravation: Morning and when lying down

Improvement: With sitting position

Associated symptoms:

Morning nausea

Progressive blurred vision

Episodes of diplopia

Increased daytime sleepiness

Physical/Neurological Examination:
General: Moderate obtundation

Neurological:

Bilateral papilledema (Frisén grade II)

Bilateral sixth cranial nerve palsy

Ataxic gait

Symmetrical brisk deep tendon reflexes

Complementary Exams:
Computed Tomography of the Skull: Marked ventricular dilation with increased Evans index (0.40)

Magnetic Resonance Imaging: Narrowing of the cerebral aqueduct with increased flow in the third ventricle

Lumbar Puncture (after neuroimaging): Opening pressure: 32 cmH₂O

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