Case 594 · ICHD-3 9.1.3.2

9.1.3.2 Chronic headache attributed to intracranial fungal or other parasitic infection

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 12-year-old female patient with a daily headache for 3 months, occurring in clusters, located in the fronto-parietal region, associated with vomiting and a generalized tonic-clonic seizure 1 week ago. No fever was reported. Neurological examination revealed isocoric pupils, normal reflexes, and no motor deficits.

Complementary Examinations:

Cranial CT: Multiple calcified cysts with perilesional edema in the parietal lobes.

Serology for cysticercosis: Positive ELISA in serum and CSF.

CSF analysis: Mild leukocytosis with eosinophils and slightly elevated protein levels.

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