Sudden Headaches

2004 ◽  
Vol 3 (1) ◽  
pp. 17-21
Author(s):  
N J Giffin ◽  
Keyword(s):  
General Practice ◽  
Sinus Thrombosis ◽  
Severe Headache ◽  
Clinical Suspicion ◽  
Thunderclap Headache ◽  
Venous Sinus Thrombosis ◽  
Life Threatening ◽  
Neurological Conditions ◽  
Cardinal Feature ◽  
Sudden Headache

Sudden severe headache is a cardinal feature of subarachnoid haemorrhage (SAH) and other potentially life threatening neurological conditions. Early diagnosis and management improves the outcome of SAH. In general practice, benign thunderclap headache vastly outnumbers SAH as a cause of sudden headache. Thunderclap headache is a diagnosis of exclusion and all patients admitted with a first presentation of a severe headache lasting more than one hour should be investigated with a CT and lumbar puncture. It must be borne in mind that these investigations may miss diagnoses such as venous sinus thrombosis and Magnetic Resonance Angiography (MRA) should be performed if clinical suspicion remains high.

Thunderclap headache

2020 ◽  
pp. 307-313
Author(s):  
Hille Koppen ◽  
Agnes van Sonderen ◽  
Sebastiaan F.T.M. de Bruijn
Keyword(s):  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Sudden Onset ◽  
Severe Headache ◽  
Thunderclap Headache ◽  
Cerebral Vasoconstriction ◽  
Initial Work ◽  
Life Threatening ◽  
Work Up ◽  
Neurologically Intact

Severe headache of sudden onset is relatively common, especially in emergency departments, and has an extensive differential. Neurovascular disorders often present with thunderclap headache. Although the initial work-up is focused to exclude subarachnoid haemorrhage, several other serious life-threatening disorders must be considered, such as cerebral venous sinus thrombosis and stroke. Furthermore, other causes like reversible cerebral vasoconstriction syndrome are recognized more and more. In this chapter the work-up of alert, neurologically intact patients presenting with an acute and severe headache, not related to trauma, will be described.

scholarly journals Cerebral Venous Sinus Thrombosis with an Intracranial Haemorrhage: A Case Report

2019 ◽  
Vol 7 (6) ◽  
pp. 1029-1031 ◽  
Author(s):  
Abdullah M. Al Zahrani ◽  
Reem Al Sheikh
Keyword(s):  
Sinus Thrombosis ◽  
Signs And Symptoms ◽  
Cerebral Venous Sinus Thrombosis ◽  
Pregnant Female ◽  
Venous Sinus ◽  
Diagnostic Challenge ◽  
Venous Sinus Thrombosis ◽  
Sagittal Sinus ◽  
Life Threatening ◽  
Acute Headache

BACKGROUND: Cerebral venous sinus thrombosis (CVST) is a rare, life-threatening disorder. It has an annual incidence of approximately two to four per million people per year. Nearly 70–80% of all cases of CVST are located in the superior sagittal sinus (SSS). CVST presents a diagnostic challenge due to different presentations. CASE PRESENTATION: We describe the case of a young pregnant female who presented to the emergency room with an acute headache attributed to multifactorial causes. CONCLUSION: This report highlights the importance of including CVST in the differential diagnosis when treating a pregnant female with headaches. Although the symptoms of CVST are varied, the most common occlusion is in the SSS. In such cases, the patient may present with signs and symptoms that include headaches, intracranial hypertension and papilloedemas.

scholarly journals Isolated intracranial hypertension following COVID-19 vaccination: A case report

2021 ◽  
Vol 4 ◽  
pp. 251581632110447
Author(s):  
Dennis C Thunstedt ◽  
Andreas Straube ◽  
Florian Schöberl
Keyword(s):  
Intracranial Pressure ◽  
Chronic Headache ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Clinical Suspicion ◽  
Temporal Association ◽  
Pathological Findings ◽  
Increased Intracranial Pressure ◽  
Venous Sinus Thrombosis ◽  
New Onset

Increased intracranial pressure in cerebral venous sinus thrombosis or metabolic disease has been reported. We present a case of new-onset chronic headache and bilateral papilledema in the setting of elevated intracranial pressure in strong temporal association to vaccination against COVID-19 with AstraZeneca. After repeated drainage of cerebrospinal fluid and conservative drug therapy, pathological findings were regredient. Even in absence of typical risk factors, increased intracranial pressure should be considered in case of clinical suspicion after COVID-19 vaccination.

scholarly journals Cerebral Venous Sinus Thrombosis during Everest Expedition: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
P. Khanal ◽  
L. Thapa ◽  
A. M. Shrestha ◽  
S. Bhattarai ◽  
D. Sapkota ◽  
...  
Keyword(s):  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Severe Headache ◽  
Sigmoid Sinus ◽  
Venous Sinus ◽  
Mr Venography ◽  
Review Of The Literature ◽  
Mount Everest ◽  
Poor Clinical Outcome ◽  
Venous Sinus Thrombosis

Cerebral venous sinus thrombosis (CVST) is a rare but serious disorder that is associated with a poor clinical outcome. We report a 35-year-old man who had a severe headache and diplopia while climbing Mount Everest. His MR venography showed right transverse and right sigmoid sinus thrombosis. He improved on anticoagulant and symptomatic measures. Cerebral venous sinus thrombosis at high altitude is discussed.

scholarly journals Rare complication of COVID-19 presenting as isolated headache

2020 ◽  
Vol 13 (10) ◽  
pp. e239275
Author(s):  
Rehan Asif ◽  
Marcella Sinead O' Mahony
Keyword(s):  
Risk Factors ◽  
Sinus Thrombosis ◽  
Rare Complication ◽  
Cerebral Venous Sinus Thrombosis ◽  
Clinical Suspicion ◽  
Neurological Symptoms ◽  
High Index ◽  
Venous Sinus ◽  
Thrombotic Risk ◽  
Venous Sinus Thrombosis

An 18-year-old man presented with persistent isolated headache 2 weeks after recovering from acute COVID-19 illness. Extensive cerebral venous sinus thrombosis (CVST) was detected on CT venogram despite him having no other thrombotic risk factors. CVST can complicate COVID-19. A high index of clinical suspicion is warranted as it can often have a subtle presentation with paucity of neurological symptoms.

scholarly journals Cerebral Venous Sinus Thrombosis: A Case Report

2015 ◽  
Vol 3 (1) ◽  
pp. 39-41
Author(s):  
Debasish Kumar Saha ◽  
ASM Areef Ahsan ◽  
Mohammad Omar Faruq ◽  
Kaniz Fatema ◽  
Fatema Ahmed ◽  
...  
Keyword(s):  
Case Report ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Severe Headache ◽  
Predisposing Factors ◽  
Venous Sinus ◽  
Diagnostic Challenge ◽  
Venous Sinus Thrombosis ◽  
Dangerous Condition

Cerebral venous sinus thrombosis (CVST) is a rare but dangerous condition occurring with an incidence of 3-4 cases per million per year. CVST presents a diagnostic challenge due to its varied presentation pattern. Here we report a case of a 40 year old diabetic, male, presenting with sudden severe headache with quadriplegia, where two predisposing factors were found.Bangladesh Crit Care J March 2015; 3 (1): 39-41

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