Acute Headache of Recent Onset and Subarachnoid Hemorrhage: A Prospective Study
Article first published online: 18 MAY 2005
Headache: The Journal of Head and Face Pain
Volume 34, Issue 3, pages 172–174, March 1994
How to Cite
Lledo, A., Calandre, L., Martinez-Menendez, B., Perez-Sempere, A. and Portera-Sanchez, A. (1994), Acute Headache of Recent Onset and Subarachnoid Hemorrhage: A Prospective Study. Headache: The Journal of Head and Face Pain, 34: 172–174. doi: 10.1111/j.1526-4610.1994.hed3403172.x
- Issue published online: 18 MAY 2005
- Article first published online: 18 MAY 2005
- Accepted for publication: September 20, 1993
- Cited By
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.