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Acute Headache of Recent Onset and Subarachnoid Hemorrhage: A Prospective Study
Author(s) -
Lledo A.,
Calandre L.,
MartinezMenendez B.,
PerezSempere A.,
PorteraSanchez A.
Publication year - 1994
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.1994.hed3403172.x
Subject(s) - medicine , subarachnoid hemorrhage , lumbar puncture , anesthesia , lumbar , prospective cohort study , emergency department , surgery , cerebrospinal fluid , psychiatry
SYNOPSIS Twenty‐seven patients with acute severe headache of recent onset were prospectively recruited in the Emergency Room. Mean duration of headache was 61 hours. CT scan disclosed subarachnoid bleeding in 4 patients and spinal tap revealed subarachnoid hemorrhage (SAH) in 5 patients with normal CT scan. In most SAH cases pain was bilateral, very intense and involving the occipital region. Four of these patients had doubtful or no nuchal rigidity and in one, pain improved while in the Emergency Room. In every case with an intense acute severe headache of recent onset CT scan and (if normal) a lumbar puncture are warranted to help rule out a SAH.