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]
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Regli, L.
Auteure/Auteur
Nater, B.
Auteure/Auteur
Regli, F.
Auteure/Auteur
de Tribolet, N.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
1997-04
Volume
127
Numéro
16
Première page
668
Dernière page/numéro d’article
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.
Sujets
PID Serval
serval:BIB_23BC213574E1
PMID
Date de création
2008-01-25T12:10:48.437Z
Date de création dans IRIS
2025-05-20T18:38:30Z