The Patient with Thunderclap Headache
Publication Date
2018
Journal Title
Neuroimaging Clin N Am
Abstract
© 2018 Elsevier Inc. Thunderclap headache is a common presentation in the emergency department and, although multiple causes have been described, subarachnoid hemorrhage (SAH) is the primary concern and early diagnosis is critical. CT is highly sensitive if performed within 6 hours of onset. Patients with aneurysmal or perimesencephalic SAH should be evaluated with CT angiography. Further work-up should be guided by the pattern of blood. Patients with negative CT angiography may be further evaluated with MR imaging, especially patients with peripheral convexity SAH.
Volume Number
28
Issue Number
3
Pages
335 - 351
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
Radiology
PMID
DOI
10.1016/j.nic.2018.03.002