7.1.4 Headache attributed to intracranial hypertension secondary to hydrocephalusHartmut Gobel2018-02-06T10:59:30+00:00
Description:
New headache, or a significant worsening of a pre-existing headache, caused by intracranial hypertension secondary to hydrocephalus and accompanied by other symptoms and/or clinical signs of increased cerebrospinal fluid pressure or hydrocephalus.
Diagnostic criteria:
- New headache, or a significant worsening1 of a pre-existing headache, fulfilling criteria for 7.1 Headache attributed to increased cerebrospinal fluid (CSF) pressure and criterion C below
- Intracranial hypertension has been attributed to hydrocephalus
- Evidence of causation demonstrated by either or both of the following:
- headache developed or significantly worsened1 in temporal relation to development or worsening of the increased CSF pressure, or led to its discovery
- either or both of the following:
- a) headache has significantly worsened in parallel with worsening of the hydrocephalus
- b) headache has significantly improved in parallel with improvement in the hydrocephalus
- Not better accounted for by another ICHD-3 diagnosis.
Note:
”Significant worsening” implies a two-fold or greater increase in frequency and/or severity in accordance with the general rule on distinguishing secondary from primary headache.
Comment:
Normal-pressure hydrocephalus usually does not cause headache; occasionally, mild dull headache is reported.