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, 42 years

History: None relevant

Medication: Occasional use of NSAIDs for headache

Family history: Mother with breast cancer

History of Present Illness (HPI): Main symptom: Chronic progressive headache for 3 months

Characteristics:

Location: Holocranial

Character: Constant pressure

Intensity: 6/10, progressively worsening

Timing: More intense upon awakening

Aggravating factors: Change of position, physical exertion

Relieving factors: No analgesic effective

Associated symptoms:

Occasional nausea and vomiting

Progressive visual blurring

Loss of balance

Mild mental confusion

Physical/Neurological Examination: General: General condition preserved

Neurological:

Gait ataxia

Bilateral horizontal nystagmus

Bilateral papilledema

Symmetrical brisk deep tendon reflexes

Complementary Exams: Brain MRI: Expansive lesion of 4 cm in the fourth ventricle with secondary hydrocephalus

Chest/Abdomen CT: No metastases

Biopsy: Medulloblastoma (WHO grade IV)

Lumbar puncture: Opening pressure >25 cmH2O (not initially performed due to risk of herniation)

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