A Case of Right Middle Cerebral Artery Infarction Presenting as Thunderclap Headache
Journal of the Korean Society of Emergency Medicine
;
: 745-749, 2012.
Artigo
em 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Artérias
/
Punção Espinal
/
Hemorragia Subaracnóidea
/
Apoplexia Hipofisária
/
Encéfalo
/
Imageamento por Ressonância Magnética
/
Aneurisma Intracraniano
/
Infarto Cerebral
/
Hipotensão Intracraniana
/
Trombose Venosa
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2012
Tipo de documento:
Artigo
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