Case 488 · ICHD-3 7.4.1.1
7.4.1.1 Headache attributed to colloid cyst of the third ventricle
- 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: Sex/Age: Male, 28 years History: Previously healthy, no regular medications Family history: Negative for headaches or neurological diseases History of Present Illness (HPI): Main symptom: Episodic headache for 3 months Characteristics: Location: Bilateral frontal and retro-orbital Character: Throbbing Intensity: 7-8/10 Duration: 15-30 minutes Frequency: 2-3 episodes daily Triggering factors: Change in head position (especially cervical flexion) Associated symptoms: Nausea, transient blurred vision, sudden episodes of leg weakness ("drop attacks") Physical/Neurological Examination: General: Preserved consciousness Neurological: Pupils equal and reactive to light Mild bilateral papilledema No focal motor or sensory deficits Slightly ataxic gait Complementary Exams: Magnetic Resonance Imaging of the Brain: Cystic lesion in the third ventricle (1.5 cm), compatible with colloid cyst, causing intermittent hydrocephalus Computed Tomography: Shows variation in ventricular size according to patient positioning
Report this case — e.g. suspected re-identification risk.