Mayo Clinic, Phoenix, AZ 85054, USA.
Headache. 2013 Mar;53(3):563-9. doi: 10.1111/head.12041. Epub 2013 Feb 13.
"Thunderclap headaches" are severe intensity headaches that reach maximum intensity in less than 1 minute. There are numerous etiologies of thunderclap headache, some associated with substantial morbidity and mortality and others with benign outcomes. Evaluation of the patient with thunderclap headache must occur urgently in order to assess for dangerous etiologies such as subarachnoid hemorrhage. When a cause for thunderclap headache is not identified after initial testing that includes brain computed tomography and cerebrospinal fluid evaluation, additional testing is typically indicated to determine the etiology. "Primary thunderclap headache" is diagnosed when a complete evaluation fails to identify a specific cause for thunderclap headache.
“霹雳头痛”是一种剧烈的头痛，在不到 1 分钟内达到最大强度。霹雳头痛有许多病因，有些与严重的发病率和死亡率有关，有些则与良性结果有关。为了评估是否存在蛛网膜下腔出血等危险病因，必须紧急评估霹雳头痛患者。如果初始测试（包括脑计算机断层扫描和脑脊液评估）后未能确定霹雳头痛的病因，则通常需要进行额外的测试以确定病因。当全面评估未能确定霹雳头痛的具体病因时，即可诊断为“原发性霹雳头痛”。
