Thunderclap Headache With Normal CT and Lumbar Puncture
نویسندگان
چکیده
منابع مشابه
Thunderclap headache: CT and lumbar puncture but occasionally more!
In considering thunderclap headache, the immediate need is to exclude the possibility of subarachnoid hemorrhage. Both our protagonists agree on this point, that the minimum required is to perform a plain brain CT and, if there is no evidence of hemorrhage, lumbar puncture. We agree with Moussouttas and Mayer that spectrophotometry to detect xanthochromia should be mandatory. It is at this poin...
متن کاملThunderclap headache with normal CT and lumbar puncture: further investigations are unnecessary: against.
Why? Because it’s just not that simple. Thunderclap headache, typically considered synonymous with aneurysmal subarachnoid hemorrhage (SAH), can also be a nonspecific presentation for a variety of other vascular and nonvascular central nervous system processes. In addition to SAH, a large number of conditions can present with an explosive headache and a normal head CT (Table).1,2 For most of th...
متن کاملThunderclap headache with normal CT and lumbar puncture: further investigations are unnecessary: for.
Thunderclap headache (sudden and severe headache, maximum in intensity at onset) should raise concern for several life-threatening conditions, including subarachnoid hemorrhage (SAH). The traditional work-up for SAH is a noncontrast head CT followed by a lumbar puncture (LP) if the CT shows no apparent diagnosis. Patients with thunderclap headache and a normal examination, CT and cerebrospinal ...
متن کاملPost–Lumbar Puncture Headache
Hospital Physician June 2007 51 Lumbar puncture is a common procedure performed for diagnostic, anesthetic, and obstetric purposes; however, up to one third of patients may experience headache after the procedure.1,2 In 1898, Bier was the first to report on post–lumbar puncture headache (PLPH) after he and his associates underwent lumbar puncture themselves and experienced headaches first-hand....
متن کاملLumbar-puncture headache.
The headache which sometimes develops after a lumbar puncture has a dual interest, for not only is it important in the clinical management of the patient, but also it has stimulated enquiry into the causative mechanism of headache as a whole. Post-puncture headache has characteristic features. It may appear from a few hours to a few days after the puncture, and it is made worse by jugular compr...
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ژورنال
عنوان ژورنال: Stroke
سال: 2008
ISSN: 0039-2499,1524-4628
DOI: 10.1161/strokeaha.107.503169