7.4.3 Headache attributed to hypothalamic or pituitary hyper- or hyposecretionHartmut Gobel2018-02-06T11:04:39+00:00
Not better accounted for by another ICHD-3 diagnosis.
Description:
Headache caused by a pituitary adenoma and hypothamic or pituitary hyper- or hyposecretion, usually accompanied by disorder of temperature regulation, abnormal emotional state and/or altered thirst or appetite. It remits after successful treatment of the underlying disorder.
Diagnostic criteria:
- Any headache fulfilling criterion C
- Hypothalamic or pituitary hyper- or hyposecretion associated with pituitary adenoma has been demonstrated1
- Evidence of causation demonstrated by at least two of the following:
- headache has developed in temporal relation to onset of hypothalamic or pituitary hyper- or hyposecretion
- either or both of the following:
- a) headache has significantly worsened in parallel with worsening of the hypothalamic or pituitary hyper- or hyposecretion
- b) headache has significantly improved in parallel with improvement in the hypothalamic or pituitary hyper- or hyposecretion
- headache is associated with at least one of the following:
- a) disorder of temperature regulation
- b) abnormal emotional state
- c) altered thirst and/or appetite
Note:
1. Including prolactin, growth hormone (GH) and/or adrenocorticotropic hormone (ACTH) hypersecretion.