Thunderclap headache: An approach to a neurologic emergency
Thunderclap headache: An approach to a neurologic emergency
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雷霆头痛：神经系统紧急情况的一种治疗方法
DOI：
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发表时间：
2007
影响因子：
5.6
通讯作者：
D. Dodick
中科院分区：
文献类型：
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作者：
M. Matharu;T. Schwedt;D. Dodick
雷霆头痛（TCH）是指瞬间发作的剧烈头痛。识别和准确诊断这种头痛非常重要，因为它可由各种严重的潜在脑部疾病引起，如蛛网膜下腔出血、颅内血肿、脑静脉窦血栓形成、颈动脉夹层、缺血性中风、垂体中风、急性动脉高压、自发性低颅压、第三脑室胶样囊肿和颅内感染。如果 TCH 患者有威利斯动脉环可逆性、节段性脑血管收缩的证据，并且脑脊液评估正常或接近正常，则被认为患有可逆性脑血管收缩综合征。当未确定潜在病因时即可诊断出原发性 TCH。在这篇综述中，我们讨论了 ICH 的鉴别诊断，概述了原发性 TCH 的特征和诊断标准，提供了原发性 TCH 的病理生理学假设，并详细介绍了 TCH 患者的诊断评估。
Thunderclap headache (TCH) refers to an excruciating headache of instantaneous onset. Recognition and accurate diagnosis of this headache are important because it can be caused by various serious underlying brain disorders such as subarachnoid hemorrhage, intracranial hematoma, cerebral venous sinus thrombosis, cervical artery dissection, ischemic stroke, pituitary apoplexy, acute arterial hypertension, spontaneous intracranial hypotension, third ventricle colloid cyst, and intracranial infections. Patients with TCH who have evidence of reversible, segmental, cerebral vasoconstriction of circle of Willis arteries and normal or near-normal cerebrospinal fluid evaluation are considered to have reversible cerebral vasoconstriction syndrome. Primary TCH is diagnosed when no underlying etiology is identified. In this review, we discuss the differential diagnosis of ICH, outline the characteristics and diagnostic criteria for primary TCH, offer a pathophysiologic hypothesis for primary TCH, and detail the diagnostic evaluation of the patient presenting with TCH.