Episodic paroxysmal hemicrania
ICD-10 G44.03 is a billable code used to indicate a diagnosis of episodic paroxysmal hemicrania.
Episodic paroxysmal hemicrania is a primary headache disorder characterized by recurrent, unilateral, and severe headache attacks that typically last from 2 to 30 minutes. These attacks can occur multiple times a day, often triggered by specific stimuli. The pain is usually localized to one side of the head and is often accompanied by autonomic symptoms such as lacrimation, nasal congestion, or ptosis. Unlike other headache disorders, episodic paroxysmal hemicrania responds well to indomethacin, a non-steroidal anti-inflammatory drug. The episodic nature of this condition distinguishes it from chronic forms, where headaches occur more frequently. Patients may experience headache-free intervals lasting days to months, making the diagnosis challenging. Accurate diagnosis relies on a thorough clinical history and exclusion of secondary causes of headache. Understanding triggers, such as stress, certain foods, or changes in sleep patterns, is crucial for management and prevention. Effective treatment strategies may include lifestyle modifications and pharmacological interventions aimed at reducing the frequency and severity of attacks.
Detailed headache diaries, patient history, and response to treatments.
Patients presenting with recurrent unilateral headaches, often misdiagnosed as migraines.
Consideration of comorbid conditions that may influence headache patterns.
Comprehensive pain assessments and treatment plans.
Management of chronic headache patients requiring multidisciplinary approaches.
Coordination with neurologists for accurate diagnosis and treatment.
Used for follow-up visits to manage headache disorders.
Document patient history, examination findings, and treatment plan.
Neurologists may require more detailed neurological examinations.
The primary symptoms include unilateral, severe headache attacks lasting from 2 to 30 minutes, often accompanied by autonomic symptoms such as tearing and nasal congestion.
