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IHS Diagnosis ICD-10
6.2.1 Headache attributed to intracerebral haemorrhage [I61] G44.810  

Diagnostic criteria:

  1. Any new acute headache fulfilling criterion C
  2. Neurological signs or neuroimaging evidence of recent non-traumatic intracerebral haemorrhage
  3. Headache develops simultaneously with or in very close temporal relation to intracerebral haemorrhage

Comments:

Through usage, the term intracerebral is taken in this context to include intracerebellar.

Headache is more frequent and more severe in haemorrhagic than in ischaemic stroke. It is usually overshadowed by focal deficits or coma, but it can be the prominent early feature of cerebellar haemorrhage which may require emergency surgical decompression.

6.2.1 Headache attributed to intracerebral haemorrhage is more often due to associated subarachnoid blood and to local compression than to intracranial hypertension. It can occasionally present as thunderclap headache.

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