Gossrau G, Dannenberg C, Reichmann H, Sabatowski R
Universitätsschmerzzentrum, Universitätsklinikum der TU Dresden, Fetscherstr. 74, 01309, Dresden, Deutschland.
Schmerz. 2008 Feb;22(1):82-6. doi: 10.1007/s00482-007-0604-x.
Thunderclap headache is an acute and severe headache and is often the first sign of a life-threatening neurovascular disorder. The case of a 44-year-old man is described who presented with a thunderclap headache as the only clinical symptom. The clinical examination did not reveal any other focal deficits or signs of motor or sensory failures. Routine blood tests, cerebral CT as well as cerebrospinal fluid analysis showed no pathological results. A cerebral MRI to exclude a symptomatic thunderclap headache revealed a right cerebellar infarction. This case expands the differential diagnosis of thunderclap headache and reinforces the need for magnetic resonance imaging in the evaluation of such patients, even when neurological examination, cerebral CT, and cerebrospinal fluid analysis are normal.
霹雳样头痛是一种急性剧烈头痛，通常是危及生命的神经血管疾病的首发症状。本文描述了一名44岁男性患者，其唯一的临床症状为霹雳样头痛。临床检查未发现任何其他局灶性缺损或运动或感觉功能障碍的体征。常规血液检查、脑部CT以及脑脊液分析均未显示病理结果。为排除症状性霹雳样头痛而进行的脑部MRI检查显示右侧小脑梗死。该病例扩展了霹雳样头痛的鉴别诊断范围，并强调了即使神经学检查、脑部CT和脑脊液分析结果正常，在评估此类患者时进行磁共振成像的必要性。
