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IHS Diagnosis ICD-10
9.1.5 Headache attributed to subdural empyema [G06.2] G44.821  

Diagnostic criteria:

  1. Headache with at least one of the following characteristics and fulfilling criteria C and D:
    1. unilateral or much more intense on one side
    2. associated with tenderness of the skull
    3. accompanied by fever
    4. accompanied by stiffness of the neck
  2. Neuroimaging and/or laboratory evidence of subdural empyema
  3. Headache develops during active infection and is localised to or maximal at the site of the empyema
  4. Headache resolves within 3 months after successful treatment of the empyema

Comment:

Headache is caused by meningeal irritation, increased intracranial pressure and/or fever.

Subdural empyema is often secondary to sinusitis or otitis media. It may also be a complication of meningitis. Early diagnosis is best made by CT or MRI.

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