A Case of Right Middle Cerebral Artery Infarction Presenting as Thunderclap Headache
Journal of the Korean Society of Emergency Medicine
;
: 745-749, 2012.
Artículo
en Coreano
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Arterias
/
Punción Espinal
/
Hemorragia Subaracnoidea
/
Apoplejia Hipofisaria
/
Encéfalo
/
Imagen por Resonancia Magnética
/
Aneurisma Intracraneal
/
Infarto Cerebral
/
Hipotensión Intracraneal
/
Trombosis de la Vena
Tipo de estudio:
Estudio diagnóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Año:
2012
Tipo del documento:
Artículo
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