Thunderclap headaches: A focus on etiology and diagnostic evaluation

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

"Thunderclap headaches" are severe intensity headaches that reach maximum intensity in less than 1 minute. There are numerous etiologies of thunderclap headache, some associated with substantial morbidity and mortality and others with benign outcomes. Evaluation of the patient with thunderclap headache must occur urgently in order to assess for dangerous etiologies such as subarachnoid hemorrhage. When a cause for thunderclap headache is not identified after initial testing that includes brain computed tomography and cerebrospinal fluid evaluation, additional testing is typically indicated to determine the etiology. "Primary thunderclap headache" is diagnosed when a complete evaluation fails to identify a specific cause for thunderclap headache.

Original languageEnglish (US)
Pages (from-to)563-569
Number of pages7
JournalHeadache
Volume53
Issue number3
DOIs
StatePublished - Mar 2013

Fingerprint

Primary Headache Disorders
Subarachnoid Hemorrhage
Headache
Cerebrospinal Fluid
Tomography
Morbidity
Mortality
Brain

Keywords

  • aneurysm
  • headache
  • reversible cerebral vasoconstriction syndrome
  • subarachnoid hemorrhage
  • thunderclap headache
  • vasoconstriction

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Thunderclap headaches : A focus on etiology and diagnostic evaluation. / Schwedt, Todd J.

In: Headache, Vol. 53, No. 3, 03.2013, p. 563-569.

Research output: Contribution to journalArticle

@article{1fd105c5a1224cafbed231de64bf5d24,
title = "Thunderclap headaches: A focus on etiology and diagnostic evaluation",
abstract = "{"}Thunderclap headaches{"} are severe intensity headaches that reach maximum intensity in less than 1 minute. There are numerous etiologies of thunderclap headache, some associated with substantial morbidity and mortality and others with benign outcomes. Evaluation of the patient with thunderclap headache must occur urgently in order to assess for dangerous etiologies such as subarachnoid hemorrhage. When a cause for thunderclap headache is not identified after initial testing that includes brain computed tomography and cerebrospinal fluid evaluation, additional testing is typically indicated to determine the etiology. {"}Primary thunderclap headache{"} is diagnosed when a complete evaluation fails to identify a specific cause for thunderclap headache.",
keywords = "aneurysm, headache, reversible cerebral vasoconstriction syndrome, subarachnoid hemorrhage, thunderclap headache, vasoconstriction",
author = "Schwedt, {Todd J}",
year = "2013",
month = "3",
doi = "10.1111/head.12041",
language = "English (US)",
volume = "53",
pages = "563--569",
journal = "Headache",
issn = "0017-8748",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Thunderclap headaches

T2 - A focus on etiology and diagnostic evaluation

AU - Schwedt, Todd J

PY - 2013/3

Y1 - 2013/3

N2 - "Thunderclap headaches" are severe intensity headaches that reach maximum intensity in less than 1 minute. There are numerous etiologies of thunderclap headache, some associated with substantial morbidity and mortality and others with benign outcomes. Evaluation of the patient with thunderclap headache must occur urgently in order to assess for dangerous etiologies such as subarachnoid hemorrhage. When a cause for thunderclap headache is not identified after initial testing that includes brain computed tomography and cerebrospinal fluid evaluation, additional testing is typically indicated to determine the etiology. "Primary thunderclap headache" is diagnosed when a complete evaluation fails to identify a specific cause for thunderclap headache.

AB - "Thunderclap headaches" are severe intensity headaches that reach maximum intensity in less than 1 minute. There are numerous etiologies of thunderclap headache, some associated with substantial morbidity and mortality and others with benign outcomes. Evaluation of the patient with thunderclap headache must occur urgently in order to assess for dangerous etiologies such as subarachnoid hemorrhage. When a cause for thunderclap headache is not identified after initial testing that includes brain computed tomography and cerebrospinal fluid evaluation, additional testing is typically indicated to determine the etiology. "Primary thunderclap headache" is diagnosed when a complete evaluation fails to identify a specific cause for thunderclap headache.

KW - aneurysm

KW - headache

KW - reversible cerebral vasoconstriction syndrome

KW - subarachnoid hemorrhage

KW - thunderclap headache

KW - vasoconstriction

UR - http://www.scopus.com/inward/record.url?scp=84875251940&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875251940&partnerID=8YFLogxK

U2 - 10.1111/head.12041

DO - 10.1111/head.12041

M3 - Article

C2 - 23406478

AN - SCOPUS:84875251940

VL - 53

SP - 563

EP - 569

JO - Headache

JF - Headache

SN - 0017-8748

IS - 3

ER -