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Secondary causes of thunderclap headache

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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secondary causes of thunderclap headaches

An underlying cause should be considered in any patient with thunderclap headache even with a history of recurrent headaches (such as migraine).

  • subarachnoid hemorrhage
    • most common cause
    • around 50% of patients presents with thunderclap pattern of headache
    • subarachnoid haemorrhage is found in 11-25% of 50%.8-11 Subarachnoid haemorrhage is found in 11-25% of patients who present with thunderclap headache (1)

  • sentinel headache
  • reversible cerebral vasoconstriction syndrome
  • cerebral venous sinus thrombosis
  • cervical artery dissection
  • spontaneous intracranial hypotension
  • acute hypertensive crisis
  • intracerebral haemorrhage
  • pituitary apoplexy
  • brain infarct
  • hydrocephalus (aqueductal stenosis, Chiari type 1 malformation)
  • tumour (third ventricle colloid cyst, posterior fossa tumour)
  • ischemic stroke
  • primary cough, sexual, and exertional headache
  • myocardial infarction
  • pheochromocytoma

Reference:

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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