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IHS Diagnosis ICD-10
9.1.4 Headache attributed to brain abscess [G06.0] G44.821  

Diagnostic criteria:

  1. Headache with at least one of the following characteristics and fulfilling criteria C and D:
    1. bilateral
    2. constant pain
    3. intensity gradually increasing to moderate or severe
    4. aggravated by straining
    5. accompanied by nausea
  2. Neuroimaging and/or laboratory evidence of brain abscess
  3. Headache develops during active infection
  4. Headache resolves within 3 months after successful treatment of the abscess

Comments:

Direct compression and irritation of the meningeal or arterial structures and increased intracranial pressure are the mechanisms for causing headache.

The most common organisms causing brain abscess include streptococcus, staphylococcus aureus, bacteroides species and enterobacter. Predisposing factors include infections of paranasal sinuses, ears, jaws, teeth or lungs.

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