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KMID : 0911820080090010044
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Korean Journal of Headache
2008 Volume.9 No. 1 p.44 ~ p.48
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A Case of Thunderclap Headache Due to The Unusual Subarachnoid Hemorrhage
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Choi Seo-Young
Oh Gun-Sei
Jeong Seong-Hae
Kim Sun-Hee
Jo Seoung-Rae
Lee Sang-Jun
Kim Hyung-Il
Shin Hye-Eun
Kim Jae-Guk
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Abstract
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Subarachnoid hemorrhage (SAH) w hich usually presented with the thunderclap headache is the disease that has significant m ortality. Therefore, the diagnosis of SAH deserves special emphasis. A 69-year-old female visited at the emergency room due to the headache. In the brain CT only ischemic change w as revealed. H owever, dark signals in the sulci on the temporo-parietal lobe w ere shown in the GRE of brain M RI. A dissecting aneurysm of the posterior cerebral artery w as detected on the digital subtraction angiography. If the patient presented w ith the thunderclap headache, a further evaluation should be proceeded in view of the fact that the dark signals of GRE can be an acute subarachnoid hemorrhage.
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KEYWORD
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Posterior cerebral artery, D issection aneurysm
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