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, 58 years

History: Invasive ductal carcinoma of the breast (diagnosed 2 years ago, with known bone metastases)

Current Medication: Common analgesics, palliative chemotherapy

History of Present Illness (HPI):

Progressive headache for 3 weeks

Characteristics:

Diffuse

Constant

Intensity 7-8/10

Progressive worsening

Unresponsive to usual analgesics

Associated symptoms:

Nausea

Vomiting

Recent diplopia

Mild mental confusion

Physical/Neurological Examination:

Bilateral sixth cranial nerve palsy

Moderate neck stiffness

Positive meningeal signs

Mildly impaired cognitive function

Complementary Exams:

Brain MRI: Diffuse meningeal enhancement

CSF:

Increased intracranial pressure

Low glucose levels

Elevated protein levels

Positive cytology for neoplastic cells

Elevated tumor markers

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