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Thunderclap Headache

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Thunderclap Headache
A distinct severe headache that occurs days to weeks before the index episode of intracranial bleeding, often from a subarachnoid haemorrhage—seen in 20% to 50% of patients; it develops within seconds, 'maxes' in minutes, and lasts for hours to days; the headache may be accompanied by nuchal rigidity, decreased consciousness, papilloedema, retinal haemorrhage, 3rd and/or 6th nerve palsy, bilateral leg weakness, nystagmus, ataxia, aphasia, abulia, hemiparesis, left-sided visual neglect
DiffDx Acute expansion, dissection, or thrombosis of unruptured aneurysm, venous sinus thrombosis, sexual headaches, benign thunderclap headache


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While symptoms may differ, the following are common symptoms that you could experience: pain on both sides of your head around the temple area, neck pain, change in vision, numbness or tingling in your arms or legs, a sudden fever or vomiting, blurred vision, headaches that seem to be increasing in intensity or frequency over time, difficulty walking or speaking and a thunderclap headache or a headache associated with loss of consciousness.
A thunderclap headache feels just like it sounds - a sudden headache marked by severe pain that can peak in seconds.
 
 
 
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