Åskknallshuvudvärk: oftast ett godartat tillstånd
2006 (Swedish)In: Läkartidningen, ISSN 0023-7205, Vol. 103, no 37, 2632-2637 p.Article in journal (Refereed) Published
We have performed a study of 137 consecutive patients with thunderclap headache (TCH), showing that a large majority of the patients do not have a subarachnoidal haemorrhage (SAH). It is concluded that 11% of all TCH is caused by SAH and that history and findings in the clinical neurological examination cannot discriminate safely between an SAH and a more benign cause. All patients should be investigated with a CT scan and an analyses of the cerebrospinal fluid to exclude a SAH if the CT scan did not show an SAH. The 10-year follow-up showed that none of the patients with TH without SAH had a cerebral haemorrhage of any kind. Pathological results on CT and CSF examinations were found in 14 of the patients with non-SAH TCH, including five with cerebral infarction, three with intracerebral haemorrhage, four with aseptic meningitis and one with venous sinus thrombosis.
Place, publisher, year, edition, pages
2006. Vol. 103, no 37, 2632-2637 p.
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-37171Local ID: 33856OAI: oai:DiVA.org:liu-37171DiVA: diva2:258020