Thunderclap headache durch Kleinhirninfarkt

Goßrau, Gudrun; Dannenberg, C.; Reichmann, Heinz; Sabatowski, Rainer

doi:10.1007/s00482-007-0604-x

Cited by 7 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Cassidy et al’s (25) use of PCP visits for comparison with control for pain confounding, could have introduced other confounders that artificially raised the baseline for comparison. PCPs prescribing Viox and other non-steroidal anti-inflammatory drugs (NSAIDs) might have contributed to occlusive strokes (28,29), which can be heralded by severe headache (30,31). Patients with extremely severe headache from CAD may have been more likely to see a PCP (32) than a chiropractor if the patient thought that the pain could be caused by a tumour or a bleed in the brain.…”

Section: Discussionmentioning

confidence: 99%

“…Binge drinking (35) and acute infection (36) may precipitate occlusive strokes, which are capable of causing severe headache before stroke presentation (30,31). If PCP patients are more prone to sporadic binge drinking, and acute infection than chiropractic patients, this could lead to baseline elevation of the PCP visit association for the case-crossover analysis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Assessing the risk of stroke from neck manipulation: a systematic review

Haynes

Vincent

Fischhoff

et al. 2012

International Journal of Clinical Practice

View full text Add to dashboard Cite

BackgroundStrokes, typically involving vertebral artery dissection, can follow cervical spinal manipulative therapy, and these types of stroke occur rarely. There is disagreement about whether a strong association between neck manipulation and stroke exists. An earlier systematic review found two relevant studies of association that used controls, which also discussed the limitations of the two papers. Our systematic review updates the earlier review, and aims to determine whether conclusive evidence of a strong association exists.MethodsPRISMA guidelines for systematic reviews were followed, and the literature was searched using a strategy that included the terms ‘neck manipulation’ and ‘stroke’ from the PubMed, Embase, CINAHL Plus and AMED databases. Citations were included if they met criteria such as being case–control studies, and dealt with neck manipulation and/or neck movement/positioning. Papers were scored for their quality, using similar criteria to the earlier review. For individual criteria, each study was assigned a full positive score if the criterion was satisfied completely.ResultsFour case–control studies and one case–control study, which included a case- crossover design, met the selection criteria, but all of them had at least three items in the quality assessment that failed to be completely positive. Two studies were assessed to be the most robustly designed, one indicating a strong association between stroke and various intensities of neck movement, including manipulation, and the other suggesting a much reduced relative association when using primary care practitioners’ visits as controls. However, potential biases and confounders render the results inconclusive.ConclusionConclusive evidence is lacking for a strong association between neck manipulation and stroke, but is also absent for no association. Future studies of association will need to minimise potential biases and confounders, and ideally have sufficient numbers of cases to allow subgroup analysis for different types of neck manipulation and neck movement.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessing the risk of stroke from neck manipulation: a systematic review

Haynes

Vincent

Fischhoff

et al. 2012

International Journal of Clinical Practice

View full text Add to dashboard Cite

show abstract

“…In the year 2006, a case report was published where TCH was the presenting feature of embolic cerebellar infarcts, in the absence of neurological findings [9]. Gossrau et al [10] presented a similar case (cerebellar infarct) in 2008. To our knowledge, this is the first report of a TCH as the presenting feature of an otherwise asymptomatic supratentorial cerebral infarct.…”

Section: Discussionmentioning

confidence: 99%

Cerebral infarct presenting with thunderclap headache

Edvardsson

Persson

2009

J Headache Pain

View full text Add to dashboard Cite

A 73-year-old man presented with a thunderclap headache (TCH), suggesting a subarachnoid haemorrhage. Neurological examination, computer tomography of the head, and cerebrospinal fluid examination were normal. Magnetic resonance imaging of the brain revealed a supratentorial cerebral infarct. No cerebral aneurysm could be detected. A TCH can be the presenting feature of many conditions. A formula for the diagnostic assessment of TCH should be established. The management of this type of headache is controversial. Articles differ in their conclusions and recommendations. An expansion of routine investigations should be performed in cases where the neurological examination, cerebrospinal fluid analysis, and computer tomography are normal. A TCH can be the primary clinical feature of a supratentorial cerebral infarct.

show abstract

“…In patients with a history of a primary headache disorder, the headache developing in association with stroke may resemble their usual headache [62]. Although ischaemic stroke is not considered to be a textbook cause for TCH, there are a few case reports of TCH as a presenting feature of ischaemic stroke, occurring with both cerebral and cerebellar infarcts [63][64][65][66]. The mechanism of headache in ischaemic stroke is not clearly understood but is probably through activation of the trigeminovascular system [67].…”

Section: Ischaemic Strokementioning

confidence: 99%

Thunderclap Headache: A Review of Different Aetiologies

Gooriah¹,

Ahmed

2015

Emerg Med (Los Angel)

View full text Add to dashboard Cite

Thunderclap headache refers to a severe headache of abrupt onset. It is a neurological emergency with potentially catastrophic consequences and should therefore be recognized and investigated promptly. Several conditions may cause thunderclap headache. Subarachnoid haemorrhage remains the most common condition that needs to be ruled out in the first instance. When no cause is identified, the term primary thunderclap headache is used but this is a diagnosis of exclusion and should only be used after other conditions have been systematically ruled out with clinical evaluation and different imaging modalities. This review will discuss the clinically serious conditions to present as thunderclap headache that should be carefully considered.

show abstract

Thunderclap headache durch Kleinhirninfarkt

Cited by 7 publications

References 14 publications

Assessing the risk of stroke from neck manipulation: a systematic review

Assessing the risk of stroke from neck manipulation: a systematic review

Cerebral infarct presenting with thunderclap headache

Thunderclap Headache: A Review of Different Aetiologies

Contact Info

Product

Resources

About