Abrupt-Onset Severe Headaches

作者：Ju Yo El S; Schwedt Todd J^*

来源：Seminars in Neurology, 2010, 30(2): 192-200.

DOI：10.1055/s-0030-1249229

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

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.

• 出版日期2010-4