Thunderclap headache

Research output: Contribution to journalArticle

209 Citations (Scopus)

Abstract

Thunderclap headache (TCH) is head pain that begins suddenly and is severe at onset. TCH might be the first sign of subarachnoid haemorrhage, unruptured intracranial aneurysm, cerebral venous sinus thrombosis, cervical artery dissection, acute hypertensive crisis, spontaneous intracranial hypotension, ischaemic stroke, retroclival haematoma, pituitary apoplexy, third ventricle colloid cyst, and intracranial infection. Primary thunderclap headache is diagnosed when no underlying cause is discovered. Patients with TCH who have evidence of reversible, segmental, cerebral vasoconstriction of circle of Willis arteries and normal or near-normal results on cerebrospinal fluid assessment are thought to have reversible cerebral vasoconstriction syndrome. Herein, we discuss the differential diagnosis of TCH, diagnostic criteria for the primary disorder, and proper assessment of patients. We also offer pathophysiological considerations for primary TCH.

Original languageEnglish (US)
Pages (from-to)621-631
Number of pages11
JournalLancet Neurology
Volume5
Issue number7
DOIs
StatePublished - Jul 2006

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Primary Headache Disorders
Vasoconstriction
Arteries
Pituitary Apoplexy
Intracranial Hypotension
Circle of Willis
Intracranial Sinus Thrombosis
Intracranial Aneurysm
Subarachnoid Hemorrhage
Venous Thrombosis
Hematoma
Headache
Cerebrospinal Fluid
Dissection
Differential Diagnosis
Stroke
Infection

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Thunderclap headache. / Schwedt, Todd J; Matharu, Manjit S.; Dodick, David William.

In: Lancet Neurology, Vol. 5, No. 7, 07.2006, p. 621-631.

Research output: Contribution to journalArticle

Schwedt, Todd J ; Matharu, Manjit S. ; Dodick, David William. / Thunderclap headache. In: Lancet Neurology. 2006 ; Vol. 5, No. 7. pp. 621-631.
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