Prevalence of thunderclap headache in patients with ruptured intracranial aneurysms: series of 60 cases

Authors

  • Bruno Bertoli Esmanhotto
  • Elcio Juliato Piovesan
  • Marcos Christiano Lange

DOI:

https://doi.org/10.48208/HeadacheMed.2019.28

Keywords:

Ruptured Aneurysm, Subarachnoid Hemorrhage, Vascular Headache

Abstract

Thunderclap headache (TCH) is a head pain that begins suddenly and is severe at onset. TCH might be the first sign of subarachnoid hemorrhage. This study was conducted to evaluate the presence of thunderclap headache (TCH) in patients with ruptured intracranial aneurysm (RIA) and endovascular treatment (EVT). We evaluated the pattern of headache in 60 patients who suffered a RIA and EVT at time of admission and prospectively evaluated the characteristics of previous headache within one year before the rupture. Thirty-one patients (51,7 %) had TCH related to the rupture. Aneurysm size does not affect the occurrence of thunderclap headache (p=0,08). The vascular aneurysm territory is not related to presence of TCH (p=0,527). The prevalence of TCH in this cohort was similar to previous studies. All patients with acute thunderclap headache should be evaluated for subarachnoid hemorrhage.

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Author Biographies

Bruno Bertoli Esmanhotto

Faculdades Pequeno Príncipe, Curso de Medicina - Curitiba - PARANA - Brasil.

Elcio Juliato Piovesan

Hospital de Clínicas - Universidade Federal do Paraná, Departamento de Neurologia - Curitiba.

Marcos Christiano Lange

Hospital de Clínicas - Universidade Federal do Paraná, Departamento de Neurologia - Curitiba.

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Published

31/12/2019

How to Cite

1.
Esmanhotto BB, Piovesan EJ, Lange MC. Prevalence of thunderclap headache in patients with ruptured intracranial aneurysms: series of 60 cases. HM [Internet]. 2019 Dec. 31 [cited 2021 Dec. 1];10(4):189-92. Available from: https://headachemedicine.com.br/index.php/hm/article/view/21

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Original

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