Case 442 · ICHD-3 7.1.1
7.1.1 Headache attributed to idiopathic intracranial hypertension (IIH)
- 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, 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.