Headache Centre, Neurosciences Department, Niguarda Ca' Granda Hospital, Milan, Italy.
J Headache Pain. 2011 Apr;12(2):251-8. doi: 10.1007/s10194-011-0302-z. Epub 2011 Feb 18.
Thunderclap headache (TCH) is an excruciating headache characterized by a very sudden onset. Recognition and accurate diagnosis of TCH are important in order to rule out the various, serious underlying brain disorders that, in a high percentage of cases, are the real cause of the headache. Primary TCH, which may recur intermittently and generally has a spontaneous, benign evolution, can thus be diagnosed only when all other potential underlying causes have been excluded through accurate diagnostic work up. In this review, we focus on the management of TCH, paying particular attention to the diagnostic work up and treatment of the condition.
霹雳性头痛(thunderclap headache,TCH)是一种剧烈的头痛,其特征为突然发作。识别和准确诊断 TCH 非常重要,以便排除各种严重的潜在脑部疾病,这些疾病在很大比例的病例中是头痛的真正原因。原发性 TCH 可能间歇性复发,通常具有自发的良性演变,因此只有通过准确的诊断工作排除所有其他潜在的潜在原因后,才能进行诊断。在这篇综述中,我们重点关注 TCH 的管理,特别关注该疾病的诊断工作和治疗。