Thunderclap Headache - Diagnosis & Treatment

How is a thunderclap headache diagnosed?

Diagnosis of a thunderclap headache involves:

  • Medical history and symptom review with your doctor.
  • Physical and neurological examination.
  • Imaging studies such as a CT scan or MRI of the brain to detect bleeding, clots, or other abnormalities.
  • Lumbar puncture (spinal tap) to analyse cerebrospinal fluid if bleeding is suspected but not visible on imaging.
  • Angiography, which refers to the imaging of blood vessels to detect any abnormalities like aneurysms or vessel narrowing.

How is a thunderclap headache treated?

Treatment for a thunderclap headache focuses on addressing the underlying cause and managing symptoms:

  • Emergency care. Immediate medical intervention to stabilise the patient and prevent complications.
  • Medications. Depending on the cause, medications might be used to control blood pressure, prevent blood clots, or reduce inflammation.
  • Surgery. In cases of bleeding or aneurysms, surgical intervention may be necessary.
  • Ongoing monitoring and management. Regular follow-up to monitor recovery and manage any ongoing issues.
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