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IHS Diagnosis ICD-10
6.1.1 Headache attributed to ischaemic stroke (cerebral infarction) [I63] G44.810  

Diagnostic criteria:

  1. Any new acute headache fulfilling criterion C
  2. Neurological signs and/or neuroimaging evidence of a recent ischaemic stroke
  3. Headache develops simultaneously with or in very close temporal relationship to signs or other evidence of ischaemic stroke

Comments:

The headache of ischaemic stroke is accompanied by focal neurological signs and/or alterations in consciousness usually allowing easy differentiation from the primary headaches. It is usually of moderate intensity and has no specific characteristics.

Headache accompanies ischaemic stroke in 17-34% of cases; it is more frequent in basilar- than in carotid-territory strokes. It is of little practical value in establishing stroke aetiology except that headache is very rarely associated with lacunar infarcts but extremely common in arterial dissection.

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