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: Male patient, 45 years old, with a history of rheumatoid arthritis (RA) under treatment, presents with left eye pain and headache for 1 week.

History of Present Illness:
Pain:

Location: Left hemicrania, deep, radiating to the temporal region and jaw

Characteristic: Constant, "piercing" type, severe intensity (8/10), worse at night and with eye movements

Associated factors:

Deep ocular hyperemia (violaceous)

Moderate photophobia and tearing

Pain on palpation of the eyeball

Systemic history: RA for 8 years (on methotrexate)

No history of recent ocular trauma or infection

Physical and Ophthalmological Examination:
Visual acuity: LE 20/40 (corrected); RE 20/20

Biomicroscopy (LE):

Diffuse episcleral edema

Deep vessels non-blanchable with phenylephrine 10%

Absence of cells in the anterior chamber

Intraocular pressure: 17 mmHg bilaterally

Fundoscopy: Normal

Complementary Exams:
Ocular ultrasound (B-mode): Scleral thickening (>2mm) and positive "T" sign

Laboratory:

Rheumatoid factor: 120 IU/mL (elevated)

CRP: 35 mg/dL

ANCA negative

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