ACUTE HEADACHE OF RECENT-ONSET AND SUBARACHNOID HEMORRHAGE - A PROSPECTIVE-STUDY

被引：20

作者：

LLEDO, A ^{[1
]}

CALANDRE, L ^{[1
]}

MARTINEZMENENDEZ, B ^{[1
]}

PEREZSEMPERE, A ^{[1
]}

PORTERASANCHEZ, A ^{[1
]}

机构：

[1] UNIV MADRID,HOSP 12 OCTUBRE,DEPT NEUROL,SERV NEUROL,E-28041 MADRID,SPAIN

来源：

HEADACHE | 1994年 / 34卷 / 03期

关键词：

D O I：

10.1111/j.1526-4610.1994.hed3403172.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Twenty-seven patients with acute severe headache of recent onset were prospectively recruited in the Emergency Room, Mean duration of headache was 61 hours. CT scan disclosed subarachnoid bleeding in 4 patients and spinal tap revealed subarachnoid hemorrhage (SAH) in 5 patients with normal CT scan. In most SAH cases pain was bilateral, very intense and involving the occipital region. Four of these patients had doubtful or no nuchal rigidity and in one, pain improved while in the Emergency Room. In every case with an intense acute severe headache of recent onset CT scan and (if normal) a lumbar puncture are warranted to help rule out a SAH.

引用

页码：172 / 174

页数：3

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