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IHS Diagnosis ICD-10
6.1.2 Headache attributed to transient ischaemic attack (TIA) [G45] G44.810  

Diagnostic criteria:

  1. Any new acute headache fulfilling criteria C and D
  2. Focal neurological deficit of ischaemic origin lasting <24 hours
  3. Headache develops simultaneously with onset of focal deficit
  4. Headache resolves within 24 hours

Comment:

Whilst more common with basilar- than carotid-territory TIA, headache is very rarely a prominent symptom of TIA. The differential diagnosis between TIA with headache and an attack of migraine with aura may be particularly difficult. The mode of onset is crucial: the focal deficit is typically sudden in a TIA and more frequently progressive in a migrainous aura. Furthermore, positive phenomena (eg, scintillating scotoma) are far more common in migrainous aura than in TIA whereas negative phenomena are more usual in TIA.

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