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: Female, 27 years

History:

Bacterial meningitis (Streptococcus pneumoniae) treated 6 weeks ago

Residual headache post-meningitis

Medications: Paracetamol 1g sporadically

History of Present Illness (HPI): Main symptom: Progressive headache for 10 days

Pain characteristics:

Location: Holocranial

Character: Throbbing and constant

Intensity: 8/10

Aggravation:

Upon waking

With coughing and physical exertion

Partial improvement: With elevated head position

Associated symptoms:

Projectile morning vomiting

Progressive visual blurring

Postural dizziness

Reduced level of consciousness (Glasgow 13)

Physical/Neurological Examination: General: Lethargy, slow reaction time

Neurological:

Bilateral papilledema (Frisén grade III)

Right sixth cranial nerve palsy

Mild neck stiffness (+2cm)

Photomotor reflex preserved but slow

Complementary Exams: Cranial Magnetic Resonance Imaging:

Marked ventricular dilation

Stenosis of the aqueduct of Sylvius

Absent flow signal in the third ventricle

Lumbar Puncture (performed after CT):

Opening pressure: 36 cmH₂O

Clear fluid, acellular

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