Thunderclap headaches

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Definition

By Mayo Clinic staff

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Thunderclap headaches live up to their name, grabbing your attention like a clap of thunder. The pain of these sudden, severe headaches peaks within 60 seconds and can start fading after an hour. Some of these headaches, however, can last for more than a week.

Thunderclap headaches are uncommon, but they can be a warning sign of potentially life-threatening conditions — usually having to do with bleeding in and around the brain. That's why it's so important to seek emergency medical attention if you experience a thunderclap headache.

References
  1. Olesen J, et al. The international classification of headache disorders. International Headache Society. http://ihs-classification.org/en/02_klassifikation/02_teil1/04.06.00_other.html. Accessed Oct. 19, 2011.
  2. Approach to the patient with headache. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/neurologic_disorders/headache/approach_to_the_patient_with_headache.html. Accessed Oct. 23, 2011.
  3. Goadsby PJ, et al. Headache. In: Longo DL, et al. Harrison's Online. 18th ed. New York, N.Y.: The McGraw-Hill Companies, Inc. 2011. http://www.accessmedicine.com/content.aspx?aID=9094791. Accessed Oct. 23, 2011.
  4. Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm. Accessed Oct. 23, 2011.
  5. DuPont SA, et al. Thunderclap headache and normal computed tomographic results: Value of cerebrospinal fluid analysis. Mayo Clinic Proceedings. 2008;83:1326.
  6. Savitz SI, et al. Thunderclap headache with normal CT and lumbar puncture: Further investigations are unnecessary: For. Stroke. 2008;39:1392.
  7. Tarshish S, et al. Teaching case presentation: Primary thunderclap headache. Headache. 2009;49:1249.
  8. Mistry N, et al. Thunderclap headache. Practical Neurology. 2009;9:294.
  9. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Oct. 23, 2011.
  10. Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: 2nd ed. Cephalalgia. 2004;24(suppl):9.
DS00644 Feb. 8, 2012

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