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, 28 years. History: Idiopathic focal epilepsy diagnosed at age 15, on carbamazepine (with irregular adherence). Family history: Mother with generalized epilepsy. History of Present Illness (HPI): Main symptom: Recurrent episodes of sudden headache, lasting 1-2 minutes. Pain characteristics: Location: Right hemicranial, fixed. Character: Pulsatile, intensity 7/10. Temporal pattern: Occurs exclusively during epileptic seizures. Associated symptoms: Visual aura (bright spots in the right visual field) preceding the headache in 50% of episodes. Oroalimentary automatisms (chewing) during episodes. No prolonged postictal dysfunction. Physical/Neurological Examination: Interictal: Normal examination. Ictal (observed during episode): Tonic deviation of the head and eyes to the left. Right perioral myoclonia. Preservation of consciousness (focal aware seizure). Complementary Exams: EEG: Right frontotemporal epileptiform discharges during the headache. Cranial MRI: Normal.

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