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IHS Diagnosis ICD-10
7.2.1 Post-dural (post-lumbar) puncture headache [G97.0] G44.820  

Diagnostic criteria:

  1. Headache that worsens within 15 minutes after sitting or standing and improves within 15 minutes after lying, with at least one of the following and fulfilling criteria C and D:
    1. neck stiffness
    2. tinnitus
    3. hypacusia
    4. photophobia
    5. nausea
  2. Dural puncture has been performed
  3. Headache develops within 5 days after dural puncture
  4. Headache resolves either1:
    1. spontaneously within 1 week
    2. within 48 hours after effective treatment of the spinal fluid leak (usually by epidural blood patch)

Note:

  1. In 95% of cases this is so. When headache persists, causation is in doubt.

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