Presentation
Hypertensive encephalopathy with reversible posterior leukoencephalopathy can present as a thunderclap headache. [ncbi.nlm.nih.gov]
Entire Body System
- Weakness
All presented with thunderclap headache, whereas half of them had additional neurologic symptoms such as right homonymous hemianopia, right-sided weakness, and slurred speech. [ncbi.nlm.nih.gov]
The pain usually precedes other problems that are caused by impaired blood flow through the artery into the brain; these may include visual symptoms, weakness of part of the body, and other abnormalities depending on the vessel affected. [1] Diagnosis [en.wikipedia.org]
You may also experience blurring vision and weakness on the same side of your body. Regardless, though, further examination is required to find out exactly what’s wrong. [askdrjj.com]
These blood vessels have weak spots that gradually increase in size until they rupture, severe brain damage or even death. [huffpost.com]
- Falling
ˈheader noun 1. a fall or dive forwards. He slipped and took a header into the mud. 2. (in football) the act of hitting the ball with the head. He scored with a great header. ˈheading noun what is written at the top of a page etc. [thefreedictionary.com]
[…] angiographic (transfemoral or indirect CTA or MRA) documentation of multifocal segmental cerebral artery vasoconstriction, and (5) reversal of vasoconstriction within 12 weeks of onset. 26 Applying these criteria, many previously separate diagnoses fall [ncbi.nlm.nih.gov]
Migraine usually returns quickly after delivery, probably triggered by the abrupt fall in the level of estrogens, by a postpartum depression or because of the new parental role and all that it implies (sleep deprivation, anxiety, worry and psychological [thejournalofheadacheandpain.biomedcentral.com]
- Collapse
At the bottom line, there are three important red flags associated with death: Being over 50 years of age Loss of consciousness or collapse Feeling that it's the worst headache of one's life Their recommendation, even though the sudden onset of headache [huffpost.com]
- Weight Loss
Topiramate reaches infant plasma level up to 25% of maternal levels and newborns should be monitored for sedation, irritability, poor suckling, weight loss and diarrhea. No other significant side effects have been reported [61, 64, 84]. [thejournalofheadacheandpain.biomedcentral.com]
- Cerebral Palsy
Moreover, if migraine patients develop preeclampsia, they have also an increased risk for cerebral palsy and perinatal death [97]. [thejournalofheadacheandpain.biomedcentral.com]
Neurologic
- Stroke
An updated definition of stroke for the 21st century a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(7):2064–89. Google Scholar 5. Linn FH et al. [doi.org]
In stroke among young patients or stroke with pain in the head and neck, angiography study of the craniocervical artery is highly recommended. [ncbi.nlm.nih.gov]
Headache at stroke onset in 2196 patients with ischemic stroke or transient ischemic attack. Stroke. 2005; 36(2) e1-e3 18 Ferro J M, Melo T P, Oliveira V et al.. A multivariate study of headache associated with ischemic stroke. [dx.doi.org]
- Encephalopathy
Hypertensive encephalopathy with reversible posterior leukoencephalopathy can present as a thunderclap headache. [ncbi.nlm.nih.gov]
PubMed View Article Google Scholar Tang-Wai DF, Phan TG, Wijdicks EF: Hypertensive encephalopathy presenting with thunderclap headache. Headache 2001, 41: 198–200. [doi.org]
Arch Gynecol Obstet 292(6):1217–1223 Article PubMed Google Scholar Roth C, Hügens-Penzel M, Ferbert A (2010) Posterior reversible encephalopathy syndrome (PRES). [thejournalofheadacheandpain.biomedcentral.com]
[…] as an infection hypothyroidism giant cell arteritis stroke brain tumor According to an article in Practical Neurology, secondary headaches that occur during pregnancy are often caused by underlying conditions like eclampsia and posterior reversible encephalopathy [medicalnewstoday.com]
- Throbbing Headache
Bathing headache is rarely described in literature. We report four middle-aged Taiwanese women who developed severe throbbing headache with maximum intensity of onset during bathing. Diffuse cerebral vasospasm was demonstrated in one of them. [ncbi.nlm.nih.gov]
While this won’t get rid of your thunderclap headache, it may at least reduce its severity. Take Belladonna Belladonna is a homeopathic tincture which can be useful in treating thunderclap headaches, as well as other types of throbbing headaches. [askdrjj.com]
- Excruciating Headache
The authors describe a patient with this type of headache who was found to have a spontaneous retroclival hematoma. A 49-year-old woman experienced an instantaneous excruciating headache. [ncbi.nlm.nih.gov]
- Paresis
[…] supplanted by MRI, which should be the initial investigation. 30 Headache is also the earliest and most common clinical manifestation of symptomatic internal carotid artery dissection, occurring in up to 75% of patients. 31– 33 A syndrome of oculosympathetic paresis [doi.org]
Workup
Initial workup for thunderclap headache to exclude subarachnoid or intracranial hemorrhage, meningitis, pituitary apoplexy, or venous sinus thrombosis was negative. [ncbi.nlm.nih.gov]
Treatment
Nimodipine might be effective in treatment of this special headache syndrome. [ncbi.nlm.nih.gov]
Prognosis
Treatment and prognosis depend on the etiology of the TCH. [ncbi.nlm.nih.gov]
Idiopathic thunderclap headache with vasospasm must also be distinguished from inflammatory CNS vasculitis, as the outcome, management, and prognosis are different. [doi.org]
Etiology
Subarachnoid hemorrhage is the most commonly identified etiology for this headache, however, other secondary etiologies should be considered. [ncbi.nlm.nih.gov]
There are numerous etiologies of thunderclap headache, some associated with substantial morbidity and mortality and others with benign outcomes. [headachejournal.onlinelibrary.wiley.com]
Numerous etiologies for thunderclap headaches have been identified, with the most common causes being subarachnoid hemorrhage and reversible cerebral vasoconstriction syndrome. [journals.lww.com]
Epidemiology
There is a need for an up to date population based description of cause of sudden and severe headache as the modern epidemiology of thunderclap headache may require updating in the light of research on cerebral vasoconstriction syndromes. [ncbi.nlm.nih.gov]
It is not usually necessary to proceed to cerebral angiography, a more precise but invasive investigation of the brain's blood vessels, if MRA and MRV are normal. [1] Epidemiology [ edit ] Incidence of thunderclap headache has been estimated at 43 per [en.wikipedia.org]
A multinational comparison of subarachnoid hemorrhage epidemiology in the WHO MONICA stroke study. Stroke. 2000;31(5):1054–61. PubMed Google Scholar 20. Inagawa T et al. [doi.org]
To gain insights into the epidemiology, clinical range, pathophysiology, appropriate management, and prognosis of patients with this disorder, clinical criteria must be established to create homogenous patient populations to study in a prospective fashion [dx.doi.org]
Pathophysiology
The pathophysiology of this disorder in the absence of underlying pathology is not well understood and its potential angiographic features are not well appreciated. Two case descriptions with illustrative angiography. [ncbi.nlm.nih.gov]
PATHOPHYSIOLOGY The pathophysiology or mechanism(s) underlying idiopathic thunderclap headache with or without segmental vasospasm is unclear. [doi.org]
TTH would be expected to improve during gestation as female hormones modulate serotonin and endorphins, which are involved in TTH pathophysiology [4]. [thejournalofheadacheandpain.biomedcentral.com]
Prevention
Can thunderclap headaches be prevented? Because they come on without warning, it’s difficult to prevent thunderclap headaches. Managing underlying health conditions and avoiding triggers are the best ways to keep them from occurring. [my.clevelandclinic.org]
Certain care strategies can help prevent headaches or ease the pain. [medicalnewstoday.com]
This may involve taking medication only when you get the headaches, taking daily medication to prevent them or, sometimes, stopping medication you are already taking. [patient.info]
Include Blood-Thinning Vegetables Garlic, onions, and peppers are all known to act as blood thinners, which can help prevent blood clots as well as reduce their severity. Because thunderclap headaches can be caused by blood clots, this makes sense. [askdrjj.com]
His report was headed `Ways of Preventing Industrial Accidents'. 5. (in football) to hit the ball with the head. He headed the ball into the goal. -headed having (a certain number or type of) head(s). a two-headed monster; a bald-headed man. [thefreedictionary.com]