Abrupt-Onset Severe Headaches

Yo-El S Ju; Todd J. Schwedt

doi:10.1055/s-0030-1249229

Seminars in Neurology, Table of Contents

Semin Neurol 2010; 30(2): 192-200
DOI: 10.1055/s-0030-1249229

Abrupt-Onset Severe Headaches

Yo-El S. Ju¹ , Todd J. Schwedt¹

¹Department of Neurology, Washington University School of Medicine, St. Louis, Missouri

Abstract

ABSTRACT

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.

KEYWORDS

Thunderclap headache - subarachnoid hemorrhage - sentinel headache - reversible cerebral vasoconstriction syndromes

Full Text

References

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Todd J SchwedtM.D.

Assistant Professor of Neurology and Anesthesiology, Washington University School of Medicine

660 South Euclid Avenue, Box 8111, St. Louis, MO 63110

Email: schwedtt@neuro.wustl.edu