Thunderclap headache (TCH)

Evidence-based neurology checklist on thunderclap headache (tch): Vascular causes Subarachnoid haemorrhage (SAH) Intracerebral haemorrhage (ICH) Spontaneous retroclival haematoma Cerebral vein thrombosis (CVT) Cervical artery dissection (CAD) Reversible cerebral vasoconstriction syndrome (RCVS)…

Vascular causes

  • Subarachnoid haemorrhage (SAH)
  • Intracerebral haemorrhage (ICH)
  • Spontaneous retroclival haematoma
  • Cerebral vein thrombosis (CVT)
  • Cervical artery dissection (CAD)
  • Reversible cerebral vasoconstriction syndrome (RCVS)
  • Posterior reversible encephalopathy syndrome (PRES)
  • Ischaemic stroke
  • Giant cell arteritis (GCA)

Other neurological causes

Medical causes

Drug-induced

Triggers

Clinical features

Assessment

References

  1. Dodick DW. Thunderclap headache. JNNP 2002; 72:6-11.
  2. Schwedt TJ, Matharu MS, Dodick D. Thunderclap headache. Lancet Neurol 2006; 5:621-631.
  3. Ducros A, Bousser M-G. Thunderclap headache. BMJ 2013; 346:e8557.
  4. Hashimoto Y, Matsushige T, Kawano R, et al. Headache characteristics to screen for cervicocerebral artery dissection in patients with acute onset unusual headache. Headache 2023; 63:283-289.
  5. García-García J, Ayo-Martín O, Segura T. A case of giant cell arteritis presenting as thunderclap headache. Headache 2013; 53:546-547.
  6. And 5 more. Subscribe to see the full list

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