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IHS Diagnosis ICD-10
8.1.11 Headache attributed to other acute substance use or exposure [code to specify substance] G44.4 or G44.83  

Diagnostic criteria:

  1. Headache fulfilling criteria C and D
  2. Acute use of or other acute exposure to a substance other than those described above
  3. Headache develops within 12 hours of use or exposure
  4. Headache resolves within 72 hours after single use or exposure

Comments:

Headache has been reported after exposure to a number of organic and inorganic substances. The following are the most commonly incriminated substances:

  • Inorganic compounds: arsenic, borate, bromate, chlorate, copper, iodine, lead, lithium, mercury, tolazoline hydrochloride.
  • Organic compounds: alcohols (long-chain), aniline, balsam, camphor, carbon disulfide, carbon tetrachloride, clordecone, EDTA, heptachlor, hydrogen sulfide, kerosene, methyl alcohol, methyl bromide, methyl chloride, methyl iodine, naphthalene, organophosphorous compounds (parathion, pyrethrum).

The headache characteristics are not very well defined in the literature but most are dull, diffuse, continuous and moderate to severe.

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