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, 42 years

History: Type 1 diabetes mellitus (since age 15), no other comorbidities

Medication: NPH and regular insulin

History of Present Illness (HPI): Main symptom: Holocranial headache for 6 weeks

Pain characteristics:

Location: Diffuse, predominantly frontal

Character: Constant pressure

Intensity: 6-7/10

Course: Progressive, worsening in the morning

Associated symptoms:

Significant asthenia

Postural hypotension

Loss of libido

Occasional double vision

Physical/Neurological Examination: General: Skin hypopigmentation

Neurological:

Bilateral limitation of extraocular motility

Decreased deep tendon reflexes

Other findings:

Blood pressure: 100/60 mmHg

Heart rate: 62 bpm

Additional Tests: Magnetic Resonance Imaging of the Sella Turcica:

Symmetrical enlargement of the pituitary gland (15mm)

Adjacent meningeal enhancement

Absence of "stalk" signal

Laboratory:

8 AM serum cortisol: 2.1 μg/dL

TSH: 1.2 mIU/L with free T4: 0.6 ng/dL

Total testosterone: 120 ng/dL

Blood glucose: 180 mg/dL (fasting)

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