Thunderclap headache

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Template:Search infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A thunderclap headache is a sudden and severe headache.[1] Since it is sometimes a sign of a medical emergency, one should "seek immediate medical attention for any headache that comes on suddenly and severely."[1] The name "thunderclap" signifies the intensity and acuity of such headaches.

Causes

In 25% of cases, a thunderclap headache is an indication of aneurysmal subarachnoid hemorrhage (SAH), which often leads to death or severe disability.[2]

Diagnosis

History and Symptoms

Headaches which accompany SAH are "frequently described as being the worst headache of one's life, although other clinical presentations are possible."[3]

CT

Diagnosis is made via a process of exclusion with accompanying negative computed tomography and lumbar puncture results.

References

  1. 1.0 1.1 "Thunderclap headaches". Mayo Clinic. Retrieved 2006-11-27.
  2. Linn, F H H (1998). "Headache characteristics in subarachnoid haemorrhage and benign thunderclap headache". Journal of Neurology, Neurosurgery and Psychiatry. 65: 791–793. Retrieved 2007-01-09. Unknown parameter |month= ignored (help); Unknown parameter |coauthors= ignored (help)
  3. "Evidence-Based Diagnosis of Nontraumatic Headache in the ER". Medscape. Retrieved 2006-11-27.

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