A Case of Right Middle Cerebral Artery Infarction Presenting as Thunderclap Headache
Journal of the Korean Society of Emergency Medicine
;
: 745-749, 2012.
Article
in Korean
| WPRIM
| ID: wpr-54416
ABSTRACT
Thunderclap headache refers to a sudden and severe headache that comes unexpectedly, reminding one of a clap of thunder. The initial description of this type of headache was in association with an unruptured intracranial aneurysm. It is known to be a presenting feature of subarachnoid hemorrhage, unruptured intracranial aneurysm, cerebral venous thrombosis, cervical artery dissection, spontaneous intracranial hypotension, pituitary apoplexy, retroclival hematoma, and hypertensive reversible posterior leukoencephalopathy. A formula for diagnostic assessment of thunderclap headache, such as brain computed tomographic scan and spinal tap, should be established. We experienced a case of cerebral infarction presented with thunderclap headache, diagnosed using diffusion weighted magnetic resonance imaging. We suggest that, even when these patients have shown non-specific findings on neurological examination, brain computed tomography, and cerebrospinal fluid analysis, diffusion MRI should be considered for differential diagnosis of thunderclap headache in emergency medical services.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Spinal Puncture
/
Subarachnoid Hemorrhage
/
Pituitary Apoplexy
/
Brain
/
Magnetic Resonance Imaging
/
Intracranial Aneurysm
/
Cerebral Infarction
/
Intracranial Hypotension
/
Venous Thrombosis
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2012
Type:
Article
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