Case 584 · ICHD-3 9.1.1.2

9.1.1.2 Chronic headache attributed to bacterial meningitis or meningoencephalitis

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

History: A 45-year-old male patient reports daily headaches for the past 3 months, characterized by diffuse, moderate to severe pain, associated with photophobia and residual neck stiffness. There is a history of bacterial meningitis due to Streptococcus pneumoniae confirmed by CSF culture 4 months ago, treated with appropriate antibiotic therapy. The headache persisted after the resolution of the acute infection and does not improve with common analgesics. Current neurological examination shows no deficits, but there is slight discomfort on cervical flexion. Cranial MRI shows no abscesses or hydrocephalus.

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