Thunderclap headache

Ducros, Anne; Bousser, M.-G.

doi:10.1136/bmj.e8557

Cited by 88 publications

(77 citation statements)

References 23 publications

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“…Its main aetiology is subarachnoid haemorrhage. 8,16 The occurrence of thunderclap headaches in HIV positive patients led us to enquire about its aetiological characteristics and outcome. The first lesson is that there should exist some clinical specificities as 80% of cases were on spontaneous occurrence compared to 63% reported by Landtblom and colleagues 10 in a series of HIV negative patients.…”

Section: Discussionmentioning

confidence: 99%

Thunderclap Headache in HIV Positive Patients: Aetiology, Clinical Findings and Long Term Follow-up of a Series of 5 Cases

Mapoure¹,

Luma²,

Nkouonlack³

et al. 2015

HIV/AIDS Res Treat Open J

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Section: Discussionmentioning

confidence: 99%

Thunderclap Headache in HIV Positive Patients: Aetiology, Clinical Findings and Long Term Follow-up of a Series of 5 Cases

Mapoure¹,

Luma²,

Nkouonlack³

et al. 2015

HIV/AIDS Res Treat Open J

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“…42 The TCH estimated incidence in the West Countries is 43 cases for 100,000 adults. 43 TCH represents one of the most recurring symptom of neurological disease in the ED. 44 The first etiology to be searched in case of a suddenonset headache is properly represented by the subarachnoid hemorrhage (ESA).…”

Section: Thunderclap Headachementioning

confidence: 99%

The management of the patient with headache: from evidence to clinical practice

Gnerre¹,

Para

Antoniis

et al. 2015

Ital J Med

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EpidemiologyHeadaches are the most prevalent neurological disorders and are among the most frequent symptoms seen in general practice. The headache is about 30% of neurological specialist visits and continues to be a frequent cause of ED use, accounting for 2% of all visits. 4 50% of the general population have headaches during any given year, and more than 90% of them report a lifetime history of headache. 5 The only Italian epidemiological study (PACE study) 6 showed that 52% of men a and 43% of women interviewed suffered from headache in the last year. 7 Primary headache Migraine IntroductionMigraine is a common, debilitating headache disor- ABSTRACTHeadaches are the most prevalent neurological disorders and continue to be a frequent cause of Emergency Department use, accounting for 2% of all visits. Although it is a neurological disease it must be also a clinical competence of internist for its nature and frequency. The keys to effective management of these syndromes are differential diagnosis through history, physical examination, and diagnostic studies when necessary. This monograph highlights the importance of establishing whether headache is a secondary symptom of another disease process or a primary condition. The goal of headache management is for patients and healthcare professionals to work together to minimize pain and improve quality of life.

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“…However, given her thrombocytopenia, use of enoxaparin, APS, immunodeficient status, and viral-type prodrome and rash, she was at risk of several secondary causes of headache, including intracranial hemorrhage, cerebral venous sinus thrombosis (CVST), sinusitis, aseptic meningitis, and both common and opportunistic CNS infections such as tuberculosis, intracerebral abscess formation, cryptococcus, toxoplasmosis, and neoplastic disease. 1 With this differential diagnosis in mind, the ideal initial diagnostic battery for this patient includes an emergent noncontrast head CT to rule out an intraparenchymal hemorrhage, MRI with and without gadolinium to evaluate for mass lesions and meningeal enhancement, magnetic resonance venography (MRV) to rule out CVST, and a lumbar puncture to evaluate for opportunistic infections. 1,2 Noncontrast head CT performed the day of the patient's recurrent headache showed no acute abnormality.…”

Section: Questions For Considerationmentioning

confidence: 99%