Document Detail


Cerebral infarct presenting with thunderclap headache.
MedLine Citation:
PMID:  19330285     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 73-year-old man presented with a thunderclap headache (TCH), suggesting a subarachnoid haemorrhage. Neurological examination, computer tomography of the head, and cerebrospinal fluid examination were normal. Magnetic resonance imaging of the brain revealed a supratentorial cerebral infarct. No cerebral aneurysm could be detected. A TCH can be the presenting feature of many conditions. A formula for the diagnostic assessment of TCH should be established. The management of this type of headache is controversial. Articles differ in their conclusions and recommendations. An expansion of routine investigations should be performed in cases where the neurological examination, cerebrospinal fluid analysis, and computer tomography are normal. A TCH can be the primary clinical feature of a supratentorial cerebral infarct.
Authors:
Bengt A Edvardsson; Staffan Persson
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-03-28
Journal Detail:
Title:  The journal of headache and pain     Volume:  10     ISSN:  1129-2377     ISO Abbreviation:  J Headache Pain     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-08     Completed Date:  2009-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100940562     Medline TA:  J Headache Pain     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  207-9     Citation Subset:  IM    
Affiliation:
Department of Clinical Sciences, Faculty of Neurology, Lund University Hospital, Lund, Sweden. Bengt.Edvardsson@med.lu.se
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MeSH Terms
Descriptor/Qualifier:
Aged
Cerebral Infarction / etiology*,  pathology
Diffusion Magnetic Resonance Imaging / methods
Headache Disorders, Primary / complications*,  pathology
Humans
Male

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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