LONG-TERM FOLLOW-UP OF 71 PATIENTS WITH THUNDERCLAP HEADACHE MIMICKING SUBARACHNOID HAEMORRHAGE

作者: E.F.M Wijdicks , H Kerkhoff , J.Van Gijn

DOI: 10.1016/S0140-6736(88)90004-9

关键词: Medical recordCerebrospinal fluidTension headacheLong term follow upCerebral angiographyCommon migraineMedicineSurgerySubarachnoid haemorrhageThunderclap headaches

摘要: Seventy-one patients with sudden, severe, and unusual headache, but normal computerised tomographic scan cerebrospinal fluid, were followed for an average of 3.3 years. Twelve (17%) had identical recurrences, again without evidence subarachnoid haemorrhage. Findings on cerebral angiography, performed in four after the first attack two recurrent episodes, normal. Thirty-one (44%) seventy-one subsequently regular episodes tension headache or common migraine. If fluid findings are normal, this type can be regarded as a benign symptom, angiography is not indicated.

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