Anamnesis

Identification:

Female, 28 years old

BMI: 34 kg/m² (obesity grade I)

History: Recent use of tetracycline for acne (3 months)

No other known comorbidities

History of Present Illness (HPI):

Daily headache for 2 months

Characteristics:

Location: Bifrontal and retro-ocular

Character: Constant pressure

Intensity: 7/10

Aggravation: Morning and with Valsalva maneuvers

Partial relief with simple analgesia

Associated symptoms:

Transient blurred vision (visual darkening for seconds)

Occasional photopsias

Bilateral pulsatile tinnitus

Denied diplopia, focal neurological deficit, or altered consciousness

Physical/Neurological Examination:

Weight: 89kg, Height: 1.62m

Fundoscopy: Bilateral grade II papilledema

Preserved extrinsic ocular motility

No other focal neurological deficits

Blood pressure: 122/78 mmHg

Complementary Exams:

Cranial MRI: Normal-sized ventricles, absence of expansive lesions

MRV: Exclusion of cerebral venous thrombosis

Lumbar puncture:

Opening pressure: 32 cmH2O

Clear cerebrospinal fluid, normal biochemical and cytological analysis

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