Abrupt-onset severe headaches

Yo El S. Ju, Todd J. Schwedt

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Thunderclap headache, a severe headache which is maximal in intensity at onset, is associated with numerous underlying disorders, including subarachnoid hemorrhage, unruptured intracranial aneurysm, cervical artery dissection, cerebral venous sinus thrombosis, stroke, intracranial hemorrhage, reversible cerebral vasoconstriction syndrome, and reversible posterior leukoencephalopathy. After exclusion of all possible causes, thunderclap headache may be considered a primary headache. This review summarizes the diagnostic considerations and clinical approach to thunderclap headache, with particular emphasis on the reversible cerebral vasoconstriction syndromes.

Original languageEnglish (US)
Pages (from-to)192-200
Number of pages9
JournalSeminars in Neurology
Issue number2
StatePublished - 2010


  • Reversible cerebral vasoconstriction syndromes
  • Sentinel headache
  • Subarachnoid hemorrhage
  • Thunderclap headache

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


Dive into the research topics of 'Abrupt-onset severe headaches'. Together they form a unique fingerprint.

Cite this