7.3.2 Headache attributed to aseptic (non-infectious) meningitisHartmut Gobel2018-02-06T11:02:22+00:00
Description:
Headache caused by aseptic meningitis, associated with other symptoms and/or clinical signs of meningeal irritation. It resolves after resolution of the meningitis.
Diagnostic criteria:
- Any headache fulfilling criterion C
- Aseptic meningitis has been diagnosed by cerebrospinal fluid (CSF) examination1
- Evidence of causation demonstrated by at least two of the following:
- headache has developed in temporal relation to the onset of the aseptic meningitis, or led to its discovery
- either or both of the following:
- a) headache has significantly worsened in parallel with worsening of the aseptic meningitis
- b) headache has significantly improved in parallel with improvement in the aseptic meningitis
- headache is accompanied by other symptoms and/or clinical signs of meningeal inflammation including neck stiffness (meningismus) and/or photophobia
- Not better accounted for by another ICHD-3 diagnosis.
Note:
The CSF in patients with aseptic meningitis shows lymphocytic pleocytosis, mildly elevated protein and normal glucose in the absence of infectious organisms.
Comment:
Aseptic meningitis may occur after exposure to certain drugs, including ibuprofen or other NSAIDS, immunoglobulins, penicillin or trimethoprim, intrathecal injections and/or insufflations.