1887
Volume 2026, Issue 1
  • EISSN: 2220-2749

Abstract

Artificial intelligence (AI) technology is revolutionizing healthcare by advancing the means of diagnosis, treatment planning, and medical education. However, the generation of erroneous yet highly credible output — for example, the creation of a completely imaginary case study in idiopathic neurovascular compression syndrome (INCS) — poses the threat of misinformation and the possible undermining of human expertise. This short communication highlights the dual role of AI by emphasizing the need for caution through a fabricated INCS case created by Grok, a highly proficient AI model. AI certainly aids efficiency, but cannot and must never be allowed to replace the subtle evaluative work of human physicians, casting an even greater responsibility on us to provide critical oversight.

© 2026 The Author(s), licensee HBKU Press.
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2025-11-13
2025-12-05

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References

  1. Topol EJ. High-performance medicine: The convergence of human and artificial intelligence. Nat Med. 2019 Jan; 25:(1):44–56. [Crossref]
     https://doi.org/10.1038/s41591-018-0300-7 [Google Scholar]
  2. Obermeyer Z, Emanuel EJ. Predicting the future—big data, machine learning, and clinical medicine. N Engl J Med. 2016; 375:(13):1216–19. [Crossref]
     https://doi.org/10.1056/NEJMp1606181 [Google Scholar]
  3. Brown TB, Mann B, Ryder N, Subbiah M, Kaplan J, Dhariwal P, et al. Language models are few-shot learners. Adv Neural Inf Process Syst. 2020; 33:1877–1901. [Crossref]
     https://doi.org/10.48550/arXiv.2005.14165 [Google Scholar]
  4. Szmyd B, Sołek J, Błaszczyk M, Jankowski J, Liberski PP, Jaskólski DJ, et al. The underlying pathogenesis of neurovascular compression syndromes: A systematic review. Front Mol Neurosci. 2022; Jul 4:15:923089. [Crossref]
     https://doi.org/10.3389/fnmol.2022.923089 [Google Scholar]
  5. Mistry AM, Niesner KJ, Lake WB, Forbes JA, Shannon CN, Kasl RA, et al. Neurovascular compression at the root entry zone correlates with trigeminal neuralgia and early microvascular decompression outcome. World Neurosurg. 2016 Nov: 95:208–13. [Crossref]
     https://doi.org/10.1016/j.wneu.2016.08.040 [Google Scholar]
  6. Wang YN, Zhong J, Zhu J, Dou NN, Xia L, Visocchi M, et al. Microvascular decompression in patients with coexistent trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia. Acta Neurochir (Wien). 2016 Nov: 95:208–13. [Crossref]
     https://doi.org/10.1016/j.wneu.2016.08.040 [Google Scholar]
  7. Cao J, Jiao J, Du Z, Xu W, Sun B, Li F, et al. Combined hyperactive dysfunction syndrome of the cranial nerves: A retrospective systematic study of clinical characteristics in 44 patients. World Neurosurg. 2017 Aug: 104:390–7. [Crossref]
     https://doi.org/10.1016/j.wneu.2017.05.020 [Google Scholar]
  8. Han J, Wang T, Xie Y, Cao D, Kang Z, Song X. Successive occurrence of vertebrobasilar dolichectasia induced trigeminal neuralgia, vestibular paroxysmia and hemifacial spasm: A case report. Medicine (Baltimore). 2018 Jun; 97:(25):e11192. [Crossref]
     https://doi.org/10.1097/MD.0000000000011192 [Google Scholar]
  9. Perez-Roman RJ, Chen SH, Sur S, Leon-Correa R, Morcos JJ. A unique case of microvascular triple decompression for combined simultaneous trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia because of the dolichoectatic vertebrobasilar system. Oper Neurosurg. 2020 Jun 1; 18:(6):692–7. [Crossref]
     https://doi.org/10.1093/ons/opz205 [Google Scholar]
  10. Kuzucu P, Türkmen T, Ülkü G, Yaman ME, Aykol Ş. Glossopharyngeal neuralgia as initial symptom in combined hyperactive dysfunction syndrome: Case report. Br J Neurosurg. 2023 Jun; 37:(3):309–12. [Crossref]
     https://doi.org/10.1080/02688697 [Google Scholar]
  11. Anukoolwittaya P, Hiransuthikul A, Thanprasertsuk S, Phanthumchinda K. Combined four neurovascular compression syndromes: The first case report and literature review. Egypt J Neurol Psychiatr Neurosurg. 2023; 59:(12). [Crossref]
     https://doi.org/10.1186/s41983-023-00614-w [Google Scholar]
  12. Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, et al. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017 Feb 2; 542:(7639):115–8. [Crossref]
     https://doi.org/10.1038/nature21056 [Google Scholar]
  13. Haug CJ, Drazen JM. Artificial intelligence and machine learning in clinical medicine, 2023. N Engl J Med. 2023 Mar 30; 388:(13):1201–8. [Crossref]
     https://doi.org/10.1056/NEJMra2302038 [Google Scholar]
  14. COPE: Committee on Publication Ethics. Emerging AI dilemmas in scholarly publishing. Committee on Publication Ethics. Last reply September 15, 2025. Accessed September 22, 2025. Available from: https://publicationethics.org/topic-discussions/emerging-ai-dilemmas-scholarly-publishing
     [Google Scholar]
  15. Yoo JH. Defining the boundaries of AI use in scientific writing: A comparative review of editorial policies. J Korean Med Sci. 2025 Jun 16; 40:(23):e187. [Crossref]
     https://doi.org/10.3346/jkms.2025.40.e187 [Google Scholar]
/content/journals/10.5339/avi.2026.1
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The dual impact of AI on public health: Ethical risk of AI-generated case reports
Avicenna 2026, 1 (2025); https://doi.org/10.5339/avi.2026.1
/content/journals/10.5339/avi.2026.1
/content/journals/10.5339/avi.2026.1
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  • Article Type: Letter to the Editor
Keyword(s): Artificial intelligence, case report, Grok and health, ChatGPT

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