Materiały źródłowe

• #1 Thunderclap Headache: What It Is, Causes & Symptoms

  https://my.clevelandclinic.org/health/symptoms/17876-thunderclap-headaches

  Thunderclap headaches are a medical emergency, and its important to assess them for an underlying cause. If healthcare providers find the cause, they tailor the treatment to address it. Some thunderclap headaches require surgery to repair torn or ruptured blood vessels. Your provider will determine the best treatment option based on the cause of the headache. […] If a thunderclap headache isnt associated with an urgent underlying condition (a primary thunderclap headache), your healthcare provider may treat it with medication. A nonsteroidal anti-inflammatory (NSAID) medicine can help reduce swelling. […] Because they come on without warning, its difficult to prevent thunderclap headaches. Managing underlying health conditions and avoiding triggers are the best ways to keep them from occurring. If you have high blood pressure or vascular problems, its important to work with your healthcare provider to follow a regular treatment plan.

• #1 Thunderclap Headache: What It Is, Causes & Symptoms

  https://my.clevelandclinic.org/health/symptoms/17876-thunderclap-headaches

  Your healthcare provider can recommend treatment options, including medications, to reduce your likelihood of repeated thunderclap headaches. […] Go to the emergency room if youre experiencing a thunderclap headache for the first time. Its urgent to determine if a dangerous condition is the underlying cause so it can be treated quickly if necessary. Some conditions associated with a thunderclap headache can be fatal without prompt treatment. […] If a thunderclap headache isnt caused by a serious underlying condition, people typically resume their usual activity as soon as the headache passes. The lengths of these headaches vary, but medications often provide relief within hours. Recovery times vary for people when an underlying condition causes a thunderclap headache. People who need brain surgery may require several weeks or even months of recovery before they return to normal activities.

• #2 Thunderclap Headaches: Symptoms, Causes, and Treatment

  https://www.healthline.com/health/thunderclap-headaches

  The first step in treating thunderclap headaches is to determine the cause. […] There are multiple treatment possibilities based on what’s causing your thunderclap headaches. They focus on treating the cause of your headache. Treatments may include: surgery to repair a tear or blockage, medications to control blood pressure, pain medications to control recurrent thunderclap headaches, especially those that have a specific trigger. […] This isn’t a complete list of treatment options for a thunderclap headache. Your doctor will advise you of treatment options based on the specific cause of your headaches. […] You should seek medical attention immediately if you experience a thunderclap headache, as it’s considered a medical emergency and may be a sign of a more serious underlying issue. […] Seeking treatment early can ensure that you’re able to effectively address any health issues that could cause or contribute to this condition.

• #3 Thunderclap headaches – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/thunderclap-headaches/symptoms-causes/syc-20378361

  Thunderclap headaches are uncommon, but they can warn of potentially life-threatening conditions usually having to do with bleeding in and around the brain. Seek emergency medical attention for a thunderclap headache. […] Seek immediate medical attention for any headache that comes on suddenly and severely. […] Thunderclap headaches care at Mayo Clinic.

• #4 Thunderclap Headaches | American Migraine Foundation

  https://americanmigrainefoundation.org/resource-library/thunderclap-headaches/

  Thunderclap headaches come on quickly without warning and are extremely painful—and they can be a sign of something serious. Learn how to spot a thunderclap headache and what to do if you experience one. […] A new, sudden headache does not always signal a dangerous underlying disorder. If doctors find no specific cause after a medical examination, they may then start treatment for what is called primary thunderclap headache, which is considered benign. […] If these headaches occur predictably at certain times, such as with sexual activity, then treating them with medication such as a non-steroidal anti-inflammatory (NSAID)—in particular, indomethacin—may be all that is needed. If the headaches are more frequent, a preventive medication taken on a daily basis may be useful. In the latter case, your doctor may prescribe something from the antihypertensive (blood pressure) class of medications.

• #4 Thunderclap Headaches | American Migraine Foundation

  https://americanmigrainefoundation.org/resource-library/thunderclap-headaches/

  It is difficult to know whether or not a sudden, severe headache is a sign of a dangerous underlying condition. For this reason, all first-time thunderclap headaches should be dealt with by seeking immediate medical evaluation to look for signs of more serious problems. […] Treatment options vary, from acute treatment to relieve symptoms to preventive treatment to reduce the number of attacks you experience. There are also behavioral treatment options and lifestyle changes that can help.

• #5 Thunderclap Headache: Symptoms, Causes, and Treatment

  https://www.verywellhealth.com/thunderclap-headache-7101082

  The treatment of a thunderclap headache depends on whether it’s a primary or secondary headache. […] A primary thunderclap headache is treated with a nonsteroidal anti-inflammatory drug (NSAID), commonly Indocin (indomethacin). […] The treatment of a secondary thunderclap headache involves addressing the underlying cause. […] For example, individuals with subarachnoid hemorrhage are treated in a hospital’s intensive care unit (ICU). […] In the ICU, medications are given to control blood pressure and seizure activity. Blood-thinning medicines like aspirin and Jantoven (warfarin) are also discontinued to help stop bleeding. […] A surgical procedure prevents rebleeding if a ruptured aneurysm causes a subarachnoid hemorrhage. […] One of the following surgeries is performed for a ruptured aneurysm: Surgical clipping or Endovascular coiling.

• #5 Thunderclap Headache: Symptoms, Causes, and Treatment

  https://www.verywellhealth.com/thunderclap-headache-7101082

  Examples of treatments for other conditions include: Reversible cerebral vasoconstriction syndrome: Treatment is supportive, focusing on managing blood pressure and the pain of the headache. Avoiding potential triggers (e.g., exercise, sexual activities) is also advised. […] Ischemic stroke: Treatment with tissue plasminogen activator, or tPA, when given within three hours of symptom onset, can help reopen clogged arteries. […] Meningitis: Medications directed against the pathogen (bug) causing the infection (e.g., antibiotics, antivirals) are given through an IV (needle in your vein).

• #6

  https://link.springer.com/article/10.1007/s00415-020-09728-0

  This article reviews the disorders of thunderclap, cough, exertional and sexual headache. […] Indometacin seems to be the most effective preventative. […] The existence of a benign form of thunderclap headache is supported by longitudinal observations of patients investigated with normal CT and CSF examinations who did not develop any subsequent adverse sequalae and continued to experience recurrent attacks. […] The most consistent treatment is Indometacin, effective over a dose range between 25-250 mg. […] The aim is to achieve an optimal dose which successfully suppresses the symptoms and then periodically reduce the dose to see whether the symptoms have become quiescent. […] Thus, not only can secondary cough headache respond to medical treatment, but the disorder can also go into spontaneous remission, occur coincidentally and be precipitated by surgical intervention.

• #7 Focus on the management of thunderclap headache: from nosography to treatment

  https://pmc.ncbi.nlm.nih.gov/articles/PMC3072477/

  Thunderclap headache (TCH) is an excruciating headache characterized by a very sudden onset. Recognition and accurate diagnosis of TCH are important in order to rule out the various, serious underlying brain disorders that, in a high percentage of cases, are the real cause of the headache. […] In this review, we focus on the management of TCH, paying particular attention to the diagnostic work up and treatment of the condition. […] Primary TCH generally responds poorly to analgesics. In one report, a woman with an apparent primary TCH had frequent recurrences of the headache until she reached (by day 14) a therapeutic dosage of gabapentin 600 mg three times a day. […] Nimodipine showed beneficial effect both in the presence and in the absence of vasospasm. IV nimodipine and magnesium were administered to a 63-year-old woman with TCH and vasospasm; a posterior ischaemic infarct had occurred before infusion. […] These reports suggest that IV nimodipine is the drug of choice for primary TCH with cerebral vasospasm, whereas oral nimodipine can be used in patients without vasospasm, although the optimal dose and time window remain to be determined. […] For primary TCH, as well as for forms associated with RCVS, the therapeutic options are restricted to nimodipine, intravenously or orally administered, although gabapentin was reported effective in one case of primary TCH.

• #8 Focus on the management of thunderclap headache: from nosography to treatment | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-011-0302-z

  Thunderclap headache (TCH) is an excruciating headache characterized by a very sudden onset. […] In this review, we focus on the management of TCH, paying particular attention to the diagnostic work up and treatment of the condition. […] Primary TCH generally responds poorly to analgesics. In one report, a woman with an apparent primary TCH had frequent recurrences of the headache until she reached (by day 14) a therapeutic dosage of gabapentin 600 mg three times a day. […] Nimodipine showed beneficial effect both in the presence and in the absence of vasospasm. IV nimodipine and magnesium were administered to a 63-year-old woman with TCH and vasospasm; a posterior ischaemic infarct had occurred before infusion. […] The treatment lasted 34 weeks with gradual tapering. […] These reports suggest that IV nimodipine is the drug of choice for primary TCH with cerebral vasospasm, whereas oral nimodipine can be used in patients without vasospasm, although the optimal dose and time window remain to be determined. […] For primary TCH, as well as for forms associated with RCVS, the therapeutic options are restricted to nimodipine, intravenously or orally administered, although gabapentin was reported effective in one case of primary TCH.

• #9 Thunderclap headache triggered by micturition: responsive to nimodipine | The Journal of Headache and Pain | Full Text

  https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1007/s10194-011-0367-8

  Primary thunderclap headache (TCH) is a rare condition, of which the onset can be triggered by coughing, exercise, and sexual activity. Micturition is a recognized trigger of secondary TCH with pheochromocytoma in bladder, but not of primary TCH. […] We describe a patient with an apparent primary TCH, which repeatedly occurred immediately after micturition until she achieved a therapeutic dosage of nimodipine. […] Antianxiety treatment with flupentixol and melitracen tablets at a dosage of one tablet in the morning and one tablet at noon, together with antalgesic, pregabalin, at a dosage of 150 mg daily, did not prevent the recurrence of micturitional headaches. […] One week later, antianxietic and antalgesic were substituted with oral nimodipine 60 mg every 6 h and the intensity of the micturitional headaches gradually became weaker on the first day of nimodipine taking and no further micturitional headache attacks were noted on the second day. […] In summary, we treated a patient with recurrent TCH apparently triggered by micturition without any underlying organic causes, which was responsive to nimodipine dramatically.

• #10 Thunderclap Headaches | American Migraine Foundation

  https://americanmigrainefoundation.org/live-copy/resource-library/thunderclap-headaches/

  How Do You Treat Thunderclap Headaches? […] A new, sudden headache does not always signal a dangerous underlying disorder. If doctors find no specific cause after a medical examination, they may then start treatment for what is called primary thunderclap headache, which is considered benign. […] If these headaches occur predictably at certain times, such as with sexual activity, then treating them with medication such as a non-steroidal anti-inflammatory (NSAID)—in particular, indomethacin—may be all that is needed. If the headaches are more frequent, a preventive medication taken on a daily basis may be useful. In the latter case, your doctor may prescribe something from the antihypertensive (blood pressure) class of medications. […] It is difficult to know whether or not a sudden, severe headache is a sign of a dangerous underlying condition. For this reason, all first-time thunderclap headaches should be dealt with by seeking immediate medical evaluation to look for signs of more serious problems.

• #11 Cervical spine instability induced Thunderclap headache –

  https://caringmedical.com/prolotherapy-news/thunderclap-headache-vagus-nerve/

  Beta-blocker: Propranolol is effective in preventing a thunderclap headache and has been widely used as a prophylactic agent. […] Topiramate and lithium: According to studies, in lower dosages, these medications help prevent an episode of thunderclap headache and can be safely used for prophylaxis. […] Reversible cerebral vasoconstriction syndrome is generally seen as the sudden onset thunderclap headache that with certain treatment programs can be resolved. […] Clinicians should include reversible cerebral vasoconstriction syndrome as a differential in all patients presenting with a thunderclap headache, especially recurrent thunderclap headache.

• #12 Thunderclap Headaches: Why You Should Watch Out for Sudden Onset of Pain — Migraine Again

  https://www.migraineagain.com/thunderclap-headaches/

  Thunderclap headaches are very severe headaches that reach a maximum intensity in less than one minute. […] It is first important to determine if there is a cause of the thunderclap headache, and if so, treating the problem can prevent a worsening situation. […] If the thunderclap headache does not have a cause, which can occur in a portion of cases, then often the headache will improve on its own; however, in these cases there are often recurrent thunderclap headaches. […] Some studies have shown that treatment with the calcium channel blocker nimodipine can be helpful in reducing the chance of having a recurrence of thunderclap headache, though more studies are needed. […] Other treatments with some evidence include the beta-blocker propranolol, medications such as topiramate and lithium, and anti-inflammatory treatments such as indomethacin.

• #13 What Is Thunderclap Headache – Klarity Health Library

  https://my.klarity.health/what-is-thunderclap-headache/

  Treatment for RCVS will usually involve a number of supportive medications to help alleviate your symptoms. There is no definitive outline for treatment; over the years, medications which appear to show benefit include nimodipine, as well as other calcium channel blockers, nifedipine or verapamil, which work by causing relaxation of the culprit blood vessels. As well as these, due to the severe intense pain you may experience, you will be offered pain relief, which may include ibuprofen, paracetamol or stronger medications such as morphine for short periods if needed.

• #14 What is a Thunderclap Headache? | LifeMD

  https://lifemd.com/learn/what-are-thunderclap-headaches

  A healthcare provider will tailor your treatment based on what they believe may be causing your headaches. There are medications available to prevent blood vessel spasms. However, there is limited research on the effectiveness of these medications. […] You may be prescribed an antihypertensive medication to lower blood pressure. High blood pressure is a common cause of head pain. Most antihypertensive medications are taken daily. […] Blood pressure medications a healthcare provider may suggest include: […] ACE inhibitors: These medications are commonly prescribed after a heart attack to prevent heart failure. […] Diuretics: They clear excess fluid out of the body to prevent high blood pressure. […] Calcium channel blockers: Often prescribed to treat high blood pressure and angina, calcium channel blockers increase blood flow and oxygen to the heart.

• #15 Thunderclap Headaches: Causes, Symptoms, and Treatments

  https://www.denveruppercervical.com/thunderclap-headache

  CT scan (computed tomography) […] Lumbar puncture (AKA spinal tap) […] MRI (magnetic resonance imaging) […] MRA (magnetic resonance angiography) […] Treatments for Thunderclap Headache […] How do you treat a thunderclap headache? There are 3 treatment options for thunderclap headaches: […] Surgery […] Psychotherapy […] Medication […] The treatment for TCH your doctor will recommend depends on what is causing your TCH. […] 1. Surgery […] In serious situations, your doctor may opt for surgery to treat what is causing your thunderclap headache. […] Surgery may be necessary in treating the following TCH triggers: […] Ischemic stroke […] Hemorrhagic stroke […] Aneurysmal subarachnoid hemorrhage […] Aneurysm […] Pituitary apoplexy […] Encephalitis (if caused by tumors)

• #16 Understanding Thunderclap Headaches – Expert Insights from Neurosurgeons

  https://www.kauveryhospital.com/blog/neurology/all-about-thunderclap-headaches/

  Thunderclap headaches are treated using Nonsteroidal anti-inflammatory drugs (NSAIDs) such as Indocin. Secondary headaches are treated by treating the underlying cause. […] For tears or blockages in blood-vessels: surgery done by a neurosurgeon may be required. […] For hypertensions: Medications is the first line of treatment. […] For pain in the head and ache, especially when the trigger is known: Painkillers are prescribed. […] For subarachnoid haemorrhage: The person is admitted into an ICU, then medications are given to control blood-pressure and seizures. To stop the bleeding, blood-thinning medicines, if the person was taking previously, will be discontinued. […] For Ruptured Aneurysm: Surgery is done to repair the aneurysm. The two most common techniques used are surgical clipping and endovascular coiling.

• #16 Understanding Thunderclap Headaches – Expert Insights from Neurosurgeons

  https://www.kauveryhospital.com/blog/neurology/all-about-thunderclap-headaches/

  For RCVS: Treatment is supportive in nature. The primary focus is on managing blood-pressure and the pain due to headache. The person will be advised to avoid all the potential triggers including exercise and sex. […] For Ischemic stroke: Medication that includes tissue plasminogen activator, or tPA, when given within the first few hours of symptoms showing up, can help open up clogged arteries. […] For Meningitis: Antibiotics and antivirals are given through an IV, to destroy the pathogens causing the infection. […] Thunderclap headaches are a severe type of headache which can be life-threatening if left untreated due to the potential serious underlying causes. This condition requires immediate medical attention and management. Diagnosis involves imaging tests to reveal intricate details of the brain’s vascular system and the treatment strategy depends largely on the underlying cause. Primary thunderclap headaches can be managed with NSAIDs, however, secondary headaches require a more focused treatment plan targeting the cause, which may include medication, surgery, or supportive care.

• #17 Thunderclap Headache: Every Second Counts in Brain Emergencies | Cedars-Sinai

  https://www.cedars-sinai.org/blog/thunderclap-headache-hemorrhagic-stroke.html

  „Thunderclap headaches like Julie’s come on quicklyusually in under 60 secondsand are the worst headaches of your life, Dr. Carlin explains.” […] „She urges anyone experiencing thunderclap headaches to call 911 immediately.” […] „With appropriate care, the vasospasm in RCVS can be reversed, usually within three months.” […] „Julie’s providers advised her to discontinue the RCVS-linked medications and prescribed calcium channel blockers, the standard of care for the condition.” […] „The blood pressure treatment, Nimodipine, helps tightened blood vessels relax.” […] „Because Julie’s brain bleed was stable and caught in time, the stroke didn’t permanently impair her physical functioning or require rehabilitation for speech or movement.” […] „If Julie had not come in, it definitely could have progressed and resulted in further brain injury.”

• #18 Thunderclap headaches: Causes, symptoms, and treatment

  https://www.medicalnewstoday.com/articles/thunderclap-headaches

  If a thunderclap headache occurs due to hemorrhagic stroke, doctors will work to minimize brain damage and slow or stop the bleeding. This may involve surgery to secure a blood vessel and prevent further bleeding. […] Bacterial meningitis requires immediate treatment with antibiotics. Without such treatment, the infection can progress, causing brain damage, and it may potentially be fatal. […] If there is lasting damage to the brain, a doctor may recommend rehabilitation through various types of therapy. Examples include speech therapy and physical therapy. […] Anyone who experiences a thunderclap headache should, therefore, seek urgent medical attention. […] Depending on the cause, doctors may need to provide emergency treatments.

• #19 Thunderclap headache: The “worst headache of my life” – Harvard Health

  https://www.health.harvard.edu/blog/thunderclap-headache-the-worst-headache-of-my-life-2019062516939

  Not all headache disorders are the same. An excruciating, sudden-onset headache known as thunderclap headache (TCH) is a medical emergency, very different from more common headache disorders such as migraine and tension headache. If you develop TCH, you should call 911 or immediately go to the closest hospital. […] Urgent evaluation in an emergency setting is needed to quickly identify and treat any underlying condition. […] If a secondary cause is identified, the underlying problem will be treated. For example, if your TCH was caused by a blood clot in an artery, it would be treated with clot-busting medications or the clot would be removed via a catheter-based procedure. […] There is no known preventive medication for primary TCH or RCVS. Bed rest is recommended, since exercise, anxiety, and sexual activity can precipitate more TCHs. Laxatives and stool softeners are also recommended, since straining or bearing down can trigger TCH.

• #20 Thunderclap headache: The “worst headache of my life” – Harvard Health

  https://www.health.harvard.edu/blog/thunderclap-headache-the-worst-headache-of-my-life-2019062516939

  Common pain relievers such as acetaminophen (Tylenol) and ibuprofen (Advil) may help. Treatment with more potent drugs, such as morphine and other opioids, may be prescribed for prolonged or very severe head pain. […] Certain medications should not be used to treat TCH. These include glucocorticoids, triptans, and other anti-migraine medications, which induce narrowing of brain arteries and can worsen the situation. […] Most people can resume routine physical activities and gradually increase the intensity of exercise two to four weeks after the sudden-onset headaches subside. […] The extreme head pain of primary TCH and RCVS can understandably evoke significant anxiety. But the long-term outcome is nearly always benign.

• #21 Thunderclap Headaches: Causes, Symptoms, and Treatments

  https://www.denveruppercervical.com/thunderclap-headache

  Easy methods to maintain cardiovascular health, and therefore prevent TCH: […] Exercise (at least 30 minutes of cardio 5 days a week) […] Healthy diet (low in trans fat and sugars) […] Manage stress […] Do not drink excessive alcohol […] Quit smoking […] Because several possible TCH causes involve the spine, chiropractic care may also prove to be a useful prevention technique, particularly if you are already at risk. […] If you or a loved one have a thunderclap headache, seek immediate medical attention at your local ER. A healthcare professional must determine whether it was caused by a stroke or another condition. […] If you discover your headache is not a thunderclap headache, consider seeking chiropractic care for non-TCH headache pain. Migraines, in particular, can often be reversed by upper cervical chiropractic care. […] At Denver Upper Cervical Chiropractic, we work with patients and employ gentle upper spine manipulation to work wonders for your quality of life.

• #22 Thunderclap Headache – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK560629/

  Managing patients presenting with TCH requires an interprofessional team of clinicians, including physicians, physician assistants, nurses, nurse practitioners, pharmacists, and ancillary staff. The specialists involved will vary depending on the underlying cause, but medical teams commonly include emergency medicine clinicians, neurologists, radiologists, pharmacists, critical care specialists, and neurosurgeons. The care of patients with TCH may not end in the emergency department. Effective communication during the handoff between emergency and inpatient teams is essential. Planning and coordination among teams of professionals involved in patient care are critical for favorable healthcare outcomes and require open communication channels among all team members.

• #23 %%title%% %%page%%

  https://www.apollohospitals.com/health-library/thunderclap-headache-causes-symptoms-and-treatment

  Thunderclap headaches are extremely painful. These occur all of a sudden and peak within a minute. Hence, because of the nature of occurrence, these are called thunderclap headaches. […] Its very important to seek immediate medical attention if you are experiencing several episodes of thunderclap headache. […] Thunderclap headaches are uncommon and need medical attention. Consult your doctor if you experience episodes of sudden, painful headaches. […] Treatment is completely based on the cause of the headaches. Generally, doctors prescribe medications to control blood pressure and recurrence of thunderclap headaches. […] Surgery is performed in case of blockage or any sort of damage to the brain. Pain medicines to control recurrent thunderclap headaches, especially those that have a specific trigger may also be used. […] Thunderclap headaches can be treated if given timely attention.

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