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IHS Diagnosis ICD-10
7.4.1 Headache attributed to increased intracranial pressure or hydrocephalus caused by neoplasm G44.822  

Diagnostic criteria:

  1. Diffuse non-pulsating headache with at least one of the following characteristics and fulfilling criteria C and D:
    1. associated with nausea and/or vomiting
    2. worsened by physical activity and/or manoeuvres known to increase intracranial pressure (such as Valsalva manoeuvre, coughing or sneezing)
    3. occurring in attack-like episodes1
  2. Space-occupying intracranial tumour demonstrated by CT or MRI and causing hydrocephalus2
  3. Headache develops and/or deteriorates in close temporal relation to the hydrocephalus
  4. Headache improves within 7 days after surgical removal or volume-reduction of tumour

Notes:

  1. Onset of headache can be sudden (thunderclap headache) and, in such cases, associated with loss of consciousness.
  2. For example, colloid cyst of the IIIrd ventricle.

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