Document Detail

Pathogenesis of the "sentinel headache" preceding berry aneurysm rupture.
MedLine Citation:
PMID:  1109729     Owner:  NLM     Status:  MEDLINE    
Pathologic examination in a case of fatal intracerebral hemorrhage from a berry aneurysm showed that the "sentinel" or warning headache in this patient was due to the leakage of blood into the subarachnoid space through a previous small tear in the wall of her saccular aneurysm. Oribital pain, transient, dysphasia, dizziness and, later, meningismus might have prompted the performing of a lumbar puncture to determine the presence of blood in the cerebrospinal fluid. This type of event is the likely pathogenetic mechanism for the premonitory headache that may precede a lethal rupture of a saccular aneurysm.
M J Ball
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Medical Association journal     Volume:  112     ISSN:  0008-4409     ISO Abbreviation:  Can Med Assoc J     Publication Date:  1975 Jan 
Date Detail:
Created Date:  1975-04-11     Completed Date:  1975-04-11     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0414110     Medline TA:  Can Med Assoc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  78-9     Citation Subset:  AIM; IM    
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MeSH Terms
Cerebral Arteries / pathology
Headache / etiology*
Intracranial Aneurysm / complications*,  pathology
Intracranial Embolism and Thrombosis / pathology
Subarachnoid Hemorrhage / diagnosis*,  etiology
Temporal Lobe / pathology

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

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