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head case 

01: A mentally unstable person who acts carelessly; 5150.
02: A person who is not of sound mind.
03: A crazy, nutty, eccentric person.
That BTK dude is a real head case.

head case 

Yo man you are a true head case.
head case by Teresa Pina February 10, 2007

Chronic Case of a nigga in need of head

Chronic Case of a nigga in need of head is very contagious