Cephalee sentinelle: symptome premonitoire trop souvent meconnu d'une rupture d'anevrisme intracranien. [Sentinel headache: a premonitory symptom too often unrecognized in intracranial ruptured aneurysm]
Détails
ID Serval
serval:BIB_23BC213574E1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Cephalee sentinelle: symptome premonitoire trop souvent meconnu d'une rupture d'anevrisme intracranien. [Sentinel headache: a premonitory symptom too often unrecognized in intracranial ruptured aneurysm]
Périodique
Schweizerische Medizinische Wochenschrift
ISSN
0036-7672 (Print)
Statut éditorial
Publié
Date de publication
04/1997
Volume
127
Numéro
16
Pages
668-74
Notes
Case Reports
English Abstract
Journal Article
Review --- Old month value: Apr 19
English Abstract
Journal Article
Review --- Old month value: Apr 19
Résumé
Headache is a common complaint in emergency departments, but only a small percentage of patients have a serious disease. Nevertheless, some forms of headache, such as "warning headaches", need special attention. By far the most common symptom associated with aneurysmal minor bleed (warning leak) is a sudden headache that is considered to be a warning symptom of impending aneurysmal rupture. In the presence of sudden severe headache with or without meningeal signs or nausea, subarachnoid hemorrhage should always be considered. Recognition of these warning headaches probably offers the best opportunity of reducing the otherwise serious mortality and morbidity of aneurysmal subarachnoid hemorrhage. This report describes 7 non-consecutive patients presenting warning headaches before major aneurysm rupture. Based on our experience and a review of the literature, we recommend a management algorithm for patients presenting with sudden severe headache.
Mots-clé
Adult
Aged
Aged, 80 and over
Algorithms
Aneurysm, Ruptured/*complications/diagnosis
Diagnosis, Differential
Female
Headache/*etiology/therapy
Humans
Intracranial Aneurysm/*complications/diagnosis
Male
Middle Aged
Subarachnoid Hemorrhage/diagnosis
Pubmed
Web of science
Création de la notice
25/01/2008 14:10
Dernière modification de la notice
20/08/2019 14:01