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IHS Diagnosis ICD-10
6.3.3 Headache attributed to dural arterio-venous fistula [I67.1] G44.811  

Diagnostic criteria:

  1. Any new acute headache fulfilling criterion C
  2. Neuroimaging evidence of dural arteriovenous fistula
  3. Evidence exists of causation by the fistula
  4. Subarachnoid haemorrhage, intracerebral haemorrhage and other causes of headache ruled out by appropriate investigations

Comment:

Studies devoted to headache with dural arteriovenous fistula are lacking. A painful pulsatile tinnitus can be a presenting symptom, as well as headache with other signs of intracranial hypertension due to decrease in venous outflow and sometimes to sinus thrombosis. Carotido-cavernous fistulae may present as painful ophthalmoplegia.

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