Conflict of Interest: None
Thunderclap Headache as Initial Manifestation of Vogt-Koyanagi-Harada Disease
Article first published online: 14 SEP 2007
Headache: The Journal of Head and Face Pain
Volume 48, Issue 1, pages 153–155, January 2008
How to Cite
Cho, J. H., Ahn, J. Y., Byeon, S. H. and Huh, J. S. (2008), Thunderclap Headache as Initial Manifestation of Vogt-Koyanagi-Harada Disease. Headache: The Journal of Head and Face Pain, 48: 153–155. doi: 10.1111/j.1526-4610.2007.00913.x
- Issue published online: 20 DEC 2007
- Article first published online: 14 SEP 2007
- Accepted for publication June 29, 2007.
- thunderclap headache;
- Vogt-Koyanagi-Harada disease;
- pituitary apoplexy
A 59-year-old Asian woman suffered from a TCH followed by sudden, binocular blurred vision, mimicking pituitary apoplexy. The diagnostic workup (including fluorescein angiography, MRI of the brain, and CSF analysis) showed severe optic disc swelling and dye leakage of multiple faint hyperfluorescent spots at retinal pigment epithelium level, diffuse pachymeningeal hypertrophy, and monocytic pleocytosis, respectively. VKH disease should be considered in the differential diagnosis of patients presenting with a TCH followed by sudden, bilateral decreased visual acuity.