Thunderclap Headache without Subarachnoid Hemorrhage Associated with Regrowth of Previously Coil-Occluded Aneurysms

Thunderclap headache is a sudden, high-intensity headache often associated with subarachnoid hemorrhage secondary to a ruptured intracerebral aneurysm. A variety of less common causes have now been described. This report presents the cases of 2 patients who experienced thunderclap headache after reg...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 2009-05, Vol.30 (5), p.1059-1061
Main Authors: Byrum, E.P, McGregor, J.M, Christoforidis, G.A
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cerebrospinal fluid. Spinal cord. Spinal roots. Spinal nerves
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - instrumentation
Female
Headache Disorders, Primary - diagnosis
Headache Disorders, Primary - etiology
Headache Disorders, Primary - prevention & control
Humans
Interventional
Intracranial Aneurysm - complications
Intracranial Aneurysm - prevention & control
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Middle Aged
Nervous system
Neurosurgery
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Subarachnoid Hemorrhage - complications
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Summary:Thunderclap headache is a sudden, high-intensity headache often associated with subarachnoid hemorrhage secondary to a ruptured intracerebral aneurysm. A variety of less common causes have now been described. This report presents the cases of 2 patients who experienced thunderclap headache after regrowth of an aneurysm, without hemorrhage of previously coiled aneurysms. Thunderclap headache after endovascular occlusion of a ruptured intracranial aneurysm may be a symptom of aneurysm regrowth and may warrant angiographic investigation.
ISSN:0195-6108
1936-959X
DOI:10.3174/ajnr.A1382