7.4.3 Headache attributed to hypothalamic or pituitary hyper- or hyposecretion

Description:

Headache caused by a pituitary adenoma and hypothamic or pituitary hyper- or hyposecretion, usually accompanied by disorder of temperature regulation, abnormal emotional state and/or altered thirst or appetite. It remits after successful treatment of the underlying disorder.

Diagnostic criteria:

1. Any headache fulfilling criterion C
2. Hypothalamic or pituitary hyper- or hyposecretion associated with pituitary adenoma has been demonstrated¹
3. Evidence of causation demonstrated by at least two of the following:
   1. headache has developed in temporal relation to onset of hypothalamic or pituitary hyper- or hyposecretion
   2. either or both of the following:
      • a) headache has significantly worsened in parallel with worsening of the hypothalamic or pituitary hyper- or hyposecretion
      • b) headache has significantly improved in parallel with improvement in the hypothalamic or pituitary hyper- or hyposecretion
   3. headache is associated with at least one of the following:
   • a) disorder of temperature regulation
   • b) abnormal emotional state
   • c) altered thirst and/or appetite
4. Not better accounted for by another ICHD-3 diagnosis.

Note:

1. Including prolactin, growth hormone (GH) and/or adrenocorticotropic hormone (ACTH) hypersecretion.