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IHSDiagnosisICD-10
9.3Headache attributed to HIV/AIDS [B22] G44.821  
Coded elsewhere Headache attributed to a specific supervening infection is coded according to that infection.

Diagnostic criteria:

  1. Headache with variable mode of onset, site and intensity1 fulfilling criteria C and D
  2. Confirmation of HIV infection and/or of the diagnosis of AIDS, and of the presence of HIV/AIDS-related pathophysiology likely to cause headache2, by neuroimaging, CSF examination, EEG and laboratory investigations
  3. Headache develops in close temporal relation to the HIV/AIDS-related pathophysiology
  4. Headache resolves within 3 months after the infection subsides

Notes:

  1. Headache as a symptom of HIV infection is dull and bilateral. Otherwise. the onset, site and intensity of headache vary according to the HIV/AIDS-related conditions (such as meningitis, encephalitis or systemic infection) that are present.
  2. See Comments.

Comments:

Dull bilateral headache may be a part of the symptomatology of HIV infection. Headache may also be attributed to aseptic meningitis during HIV infection (but not exclusively in the AIDS stages) and to secondary meningitis or encephalitis associated with opportunistic infections or neoplasms (which mostly occur in the AIDS stages). The most common intracranial infections in HIV/AIDS are toxoplasmosis and cryptococcal meningitis.

Headache occurring in patients with HIV/AIDS but attributed to a specific supervening infection is coded to that infection.

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