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==Overview==
==Overview==
A '''thunderclap headache''' is a sudden and severe [[headache]].<ref name="Mayo">{{cite web |url=http://www.mayoclinic.com/print/thunderclap-headaches/DS00644/DSECTION=all&METHOD=print |title=Thunderclap headaches |accessdate=2006-11-27 |publisher=[[Mayo Clinic]] }}</ref> 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."<ref name="Mayo" />
A '''thunderclap headache''' is a sudden and severe [[headache]].<ref name="Mayo">{{cite web |url=http://www.mayoclinic.com/print/thunderclap-headaches/DS00644/DSECTION=all&METHOD=print |title=Thunderclap headaches |accessdate=2006-11-27 |publisher=[[Mayo Clinic]] }}</ref> 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."<ref name="Mayo" /> The name "thunderclap" signifies the intensity and acuity of such headaches.
 
==Causes==
The name "thunderclap" signifies the intensity and acuity of such headaches. In 25% of cases, a thunderclap headache is an indication of [[aneurysm]]al [[subarachnoid hemorrhage]] (SAH), which often leads to death or severe disability.<ref name="Linn">{{cite journal |last=Linn |first=F H H |coauthors=G J E Rinkel, A Algra, J van Gijn |year=1998 |month=November |title=Headache characteristics in subarachnoid haemorrhage and benign thunderclap headache |journal=Journal of Neurology, Neurosurgery and Psychiatry |volume=65 |issue= |pages=791-793 |url=http://jnnp.bmj.com/cgi/content/full/65/5/791 |accessdate=2007-01-09 }}</ref> Headaches which accompany SAH are "frequently described as being the worst headache of one's life, although other clinical presentations are possible."<ref name="Medscape">{{cite web |url=http://www.medscape.com/viewarticle/481270_3 |title=Evidence-Based Diagnosis of Nontraumatic Headache in the ER |accessdate=2006-11-27 |publisher=[[Medscape]] }}</ref>
In 25% of cases, a thunderclap headache is an indication of [[aneurysm]]al [[subarachnoid hemorrhage]] (SAH), which often leads to death or severe disability.<ref name="Linn">{{cite journal |last=Linn |first=F H H |coauthors=G J E Rinkel, A Algra, J van Gijn |year=1998 |month=November |title=Headache characteristics in subarachnoid haemorrhage and benign thunderclap headache |journal=Journal of Neurology, Neurosurgery and Psychiatry |volume=65 |issue= |pages=791-793 |url=http://jnnp.bmj.com/cgi/content/full/65/5/791 |accessdate=2007-01-09 }}</ref>
 
==Diagnosis==
==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."<ref name="Medscape">{{cite web |url=http://www.medscape.com/viewarticle/481270_3 |title=Evidence-Based Diagnosis of Nontraumatic Headache in the ER |accessdate=2006-11-27 |publisher=[[Medscape]] }}</ref>
===CT===
Diagnosis is made via a process of exclusion with accompanying negative [[Computed tomography|computed tomograph]] and [[lumbar puncture]] results.
Diagnosis is made via a process of exclusion with accompanying negative [[Computed tomography|computed tomograph]] and [[lumbar puncture]] results.
==References==
==References==
{{reflist|2}}
{{reflist|2}}


{{Symptoms and signs}}
{{Symptoms and signs}}
 
 
 
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Revision as of 17:07, 5 February 2013

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 tomograph 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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