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, 30 years old, with a history of axial spondyloarthritis (HLA-B27 positive), reports right periocular headache for 5 days.

History of Present Illness:
Pain:

Location: Right hemicranial, predominantly periorbital

Characteristic: Deep, continuous, pressure-like, moderate to severe intensity (7/10)

Aggravating factors: Eye movements and exposure to light (true photophobia)

Associated ocular symptoms:

Selective conjunctival hyperemia (ciliary/perilimbal)

Photophobia and tearing

Slightly blurred vision (without significant loss of acuity)

No nausea/vomiting or visual aura

Physical and Ophthalmological Examination:
Visual acuity: OD 20/30 (corrected); OS 20/20

Biomicroscopy (OD):

Cells (+3) and flare (+2) in anterior chamber

Fine inferior keratic precipitates

Open angle on gonioscopy

Intraocular pressure: 18 mmHg (OD) and 16 mmHg (OS)

Fundoscopy: No vitritis or choroiditis

Complementary Exams:
Optical coherence tomography (OCT): Excludes macular edema

Laboratory:

CRP: 28 mg/L (elevated)

HLA-B27 positive (already known)

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