{"id":76,"date":"2009-02-27T10:59:53","date_gmt":"2009-02-27T10:59:53","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/neuromigvasc\/"},"modified":"2025-05-14T20:58:47","modified_gmt":"2025-05-14T20:58:47","slug":"neuromigvasc","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/neuromigvasc\/","title":{"rendered":"ICHD-II Diagnostic Criteria for Headache Attributed to Non-Vascular Intracranial Disorder"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p><\/p>\n<p class=\"MsoNormal\">A. Progressive headache with at least 1 of the following characteristics and fulfilling criteria C-D:<\/p>\n<ol>\n<li class=\"MsoNormal\">Daily occurrence<\/li>\n<li class=\"MsoNormal\">Diffuse and\/or constant (non-pulsating) pain<\/li>\n<li class=\"MsoNormal\">Aggravated by coughing or straining<\/li>\n<\/ol>\n<p><!--more--><\/p>\n<p class=\"MsoNormal\">B. Intracranial hypertension fulfilling the following criteria:<\/p>\n<ol>\n<li class=\"MsoNormal\">Alert patient with neurological examination that either is normal or demonstrates any of the following abnormalities:\n<ol>\n<li class=\"MsoNormal\" style=\"margin-left: 50px; margin-top: 0pt; margin-bottom: 0pt;\">Papilloedema<\/li>\n<li class=\"MsoNormal\" style=\"margin-left: 50px; margin-top: 0pt; margin-bottom: 0pt;\">Enlarged blind spot<\/li>\n<li class=\"MsoNormal\" style=\"margin-left: 50px; margin-top: 0pt; margin-bottom: 0pt;\">Visual field defect (progressive if untreated)<\/li>\n<li class=\"MsoNormal\" style=\"margin-left: 50px; margin-top: 0pt; margin-bottom: 0pt;\">Sixth nerve palsy<\/li>\n<\/ol>\n<\/li>\n<li class=\"MsoNormal\">Increased CSF pressure (&gt;200 mm H2O in the nonobese, &gt;250 mm H2O in the obese) measured by lumbar puncture in the recumbent position or by epidural or intraventricular pressure monitoring<\/li>\n<li class=\"MsoNormal\">Normal CSF chemistry (low CSF protein is acceptable) and cellularity<\/li>\n<li class=\"MsoNormal\">Intracranial diseases (including venous sinus thrombosis) ruled out by appropriate investigations<\/li>\n<li class=\"MsoNormal\">No metabolic, toxic or hormonal cause of intracranial hypertension<\/li>\n<\/ol>\n<p class=\"MsoNormal\">C. Headache develops in close temporal relation to increased intracranial pressure<\/p>\n<p class=\"MsoNormal\">D. Headache improves after withdrawal of CSF to reduce pressure to 120-170 mm H2O and resolves within 72 hours of persistent normalisation of intracranial pressure<\/p>\n<p class=\"MsoNormal\"><strong>Headache attributed to increased intracranial pressure or hydrocephalus caused by neoplasm<\/strong><\/p>\n<p class=\"MsoNormal\">A. Diffuse non-pulsating headache with at least 1 of the following characteristics and fulfilling criteria C-D:<\/p>\n<ol>\n<li class=\"MsoNormal\">Associated with nausea and\/or vomiting<\/li>\n<li class=\"MsoNormal\">Worsened by physical activity and\/or manoeuvres known to increase intracranial pressure (such as Valsalva manoeuvre, coughing or sneezing)<\/li>\n<li class=\"MsoNormal\">Occurring in attack-like episodes<\/li>\n<\/ol>\n<p class=\"MsoNormal\">B. Space-occupying intracranial tumour* demonstrated by CT or MRI and causing hydrocephalus<\/p>\n<p class=\"MsoNormal\">C. Headache develops and\/or deteriorates in close temporal relation to the hydrocephalus<\/p>\n<p class=\"MsoNormal\">D. Headache improves within 7 days after surgical removal or volume-reduction of tumour<\/p>\n<p class=\"MsoNormal\">*including colloid cyst of the IIIrd ventricle.<\/p>\n<p class=\"MsoNormal\"><strong>Headache attributed directly to neoplasm<\/strong><\/p>\n<p class=\"MsoNormal\">A. Headache with at least 1 of the following characteristics and fulfilling criteria C-D:<\/p>\n<ol>\n<li class=\"MsoNormal\">progressive<\/li>\n<li class=\"MsoNormal\">localised<\/li>\n<li class=\"MsoNormal\">worse in the morning<\/li>\n<li class=\"MsoNormal\">aggravated by coughing or bending forward<\/li>\n<\/ol>\n<p class=\"MsoNormal\">B. Intracranial neoplasm shown by imaging<\/p>\n<p class=\"MsoNormal\">C. Headache develops in temporal (and usually spatial) relation to the neoplasm<\/p>\n<p class=\"MsoNormal\">D. Headache resolves within 7 days after surgical removal or volume-reduction of neoplasm or treatment with corticosteroids<\/p>\n<div class=\"Section1\">\n<div class=\"Section1\">\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\"><strong>References:<\/strong><\/p>\n<div class=\"Section1\">\n<ol>\n<li>\n<p class=\"MsoNormal\">International Headache Society. The International Classification of Headache Disorders, 2nd Edition. Cephalalgia 2004; 24 (suppl 1): 1-160 (www.i-h-s.org)<\/p>\n<\/li>\n<\/ol>\n<p class=\"MsoNormal\">This material was taken from the International Classification of Headache Disorders. It is intended for educational purposes only.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"MsoNormal\">Created: Jun 13, 2005<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[2],"tags":[1759,1758,1706,16,15,14,85,1754,1674,1593,63,62,1300,1764,639],"class_list":["post-76","post","type-post","status-publish","format-standard","hentry","category-neurology","tag-atribuida","tag-attributed","tag-cefalea","tag-criteria","tag-criterios","tag-diagnostic","tag-disorder","tag-headache","tag-ichd","tag-ii","tag-intracraneal","tag-intracranial","tag-neurology","tag-non","tag-vascular"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/76","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=76"}],"version-history":[{"count":3,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/76\/revisions"}],"predecessor-version":[{"id":9080,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/76\/revisions\/9080"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=76"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=76"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=76"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}