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, 25 years.

History: Previously healthy, with no history of migraine or recent infections.

History of Present Illness (HPI): Main symptom: Recurrent episodes of severe headache associated with transient neurological deficits over the past 3 days.

Headache characteristics:

Location: Unilateral (left hemicrania).

Character: Pulsatile.

Intensity: 8/10.

Duration: 1-2 hours per episode.

Associated symptoms: Photophobia, phonophobia, and nausea.

Transient neurological deficits:

Episode 1: Paresthesias in the right hemibody (20 minutes).

Episode 2: Dysarthria and weakness in the right arm (30 minutes).

Complete recovery after each episode.

Physical/Neurological Examination:

General: Conscious, oriented, afebrile.

Neurological:

No focal deficits at the time of examination.

Normal reflexes, no meningeal signs.

Complementary Exams:

Cerebrospinal Fluid (CSF):

Lymphocytic pleocytosis (80 cells/mm³).

Slightly elevated protein (60 mg/dL).

Normal glucose.

Negative cultures.

Cranial MRI and Angiography: Normal.

EEG: Temporal slow waves without epileptiform activity.

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