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: Female patient, 38 years old, with a history of spasmodic torticollis and chronic neck pain, presenting with persistent headache for 4 months.

History of Illness:
Pain: Constant, pressure or tightening, bilateral (predominantly occipital), radiating to the temporal region.

Relation to movements: Worsens with abnormal head postures (involuntary rotation/inclination) and physical exertion.

Associated symptoms: Intermittent spasms of the sternocleidomastoid and trapezius muscles, without neurological deficits.

No nausea, vomiting, photophobia, or phonophobia (excluding migraine).

Physical/Neurological Examination:
Abnormal posture: Sustained rotation of the head to the left with slight ipsilateral inclination.

Cervical palpation: Pain on palpation of the suboccipital and trapezius muscles.

Passive movement: Resistance to postural correction with reproduction of the headache.

Neurological examination: Normal (no pyramidal signs, sensory changes, or other motor disturbances).

Complementary Exams:
Cervical Spine Magnetic Resonance Imaging: No medullary compression or structural lesions.

Electromyography (EMG): Sustained muscle activity compatible with cervicocranial dystonia.

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