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

30007749

DOI

10.1016/j.nic.2018.03.002

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