Case 596 · ICHD-3 9.1.4
9.1.4 Headache attributed to localized brain 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 45-year-old male patient presents with a progressive headache for 10 days, located in the right frontoparietal region, with a pulsatile character and moderate to severe intensity. He reports intermittent low-grade fever and worsening of the pain with coughing or physical exertion. There is a recent history of inadequately treated bacterial sinusitis.
Neurological Examination: Mild paresis in the left hemibody and conjugate gaze deviation to the right. Fundoscopy without papilledema.
Complementary Exams: Cranial magnetic resonance imaging reveals a rounded lesion in the right frontal lobe with peripheral enhancement after contrast (brain abscess). Lumbar puncture with cerebrospinal fluid showing neutrophilic pleocytosis and elevated protein.
Report this case — e.g. suspected re-identification risk.