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
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
Auteur(s)
Regli  L., Nater  B., Regli  F., de Tribolet  N.
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
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
03/03/2018 14:55
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