scholarly journals Cerebral vasospasm in idiopathic thunderclap headache

Neurology ◽  
2006 ◽  
Vol 67 (6) ◽  
pp. 990-990 ◽  
Author(s):  
D. Renard
The Lancet ◽  
1988 ◽  
Vol 332 (8618) ◽  
pp. 1020 ◽  
Author(s):  
E.F.M. Wijdicks ◽  
H. Kerkhoff ◽  
J. Van Gijn

Cephalalgia ◽  
2003 ◽  
Vol 23 (9) ◽  
pp. 854-859 ◽  
Author(s):  
Yi-Chu Liao ◽  
Jong-Ling Fuh ◽  
Jiing-Feng Lirng ◽  
Shiang-Ru Lu ◽  
Zin-An Wu ◽  
...  

Bathing headache is rarely described in literature. We report four middle-aged Taiwanese women who developed severe throbbing headache with maximum intensity of onset during bathing. Diffuse cerebral vasospasm was demonstrated in one of them. All their headaches resolved spontaneously ( n = 1) or after nimodipine treatment ( n = 3). Except for one patient with vasospasm in whom reversible posterior leukoencephalopathy and an asymptomatic cerebellar infarction developed, the others recovered without any complications. The clinical profile of bathing headache points to idiopathic thunderclap headache. It may not be as benign as previously reported. Nimodipine might be effective in treatment of this special headache syndrome.


Cephalalgia ◽  
2006 ◽  
Vol 26 (5) ◽  
pp. 530-536 ◽  
Author(s):  
S-P Chen ◽  
J-L Fuh ◽  
J-F Lirng ◽  
S-J Wang

Primary thunderclap headache (TCH) is sometimes associated with cerebral vasospasm. However, the role of vasospasm in relation to the development of reversible or irreversible posterior leukoencephalopathy among patients with primary TCH has never been fully addressed. This paper includes a report on a 51-year-old woman with primary TCH complicated with posterior leukoencephalopathy and a literature review of 16 further patients with the same illness. Their magnetic resonance or conventional angiographic findings were clearly described. Our review found that all these 17 patients showed evidence of cerebral vasospasm. Eleven (65%) of them developed permanent ischaemic infarctions, almost exclusively located at the watershed zones. We suggest that the presence of vasospasm might be requisite for posterior leukoencephalopathy as well as for permanent infarctions in these patients. Therefore, searching for any clue of vasospasm is mandatory in treatment of patients with primary TCH. Absence of an accompanying vasospasm might predict a good outcome.


1990 ◽  
Vol 1 (2) ◽  
pp. 349-356 ◽  
Author(s):  
E. Clarke Haley ◽  
James C. Tomer ◽  
Neal F. Kassell
Keyword(s):  

2005 ◽  
Vol 25 (1_suppl) ◽  
pp. S118-S118
Author(s):  
Gail Pyne-Geithman ◽  
Chad Morgan ◽  
Kenneth Wagner ◽  
Janice Carrozzella ◽  
Daniel Kanter ◽  
...  

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