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KMID : 1040020200110020042
International Journal of Pain
2020 Volume.11 No. 2 p.42 ~ p.47
Headache as the Prodromal Symptom of Ischemic Stroke
Ro Su-Ho

Kim Yong-Kyun
Jeong Yun-Hyeong
Ann So-Ei
Suh Bum-Chun
Abstract
Ischemic stroke may be accompanied by acute onset thunderclap headache. However, the presence of sentinel headache (headache before neurologic symptoms) has been previously underestimated. We report a case of acute internal carotid artery occlusion in a patient with only acute onset thunderclap headache without any neurologic symptoms who eventually experienced a major ischemic stroke. This case confirms the existence of sentinel headache, and it also shows that occlusion of the internal carotid artery can cause headache without a brain lesion or neurological symptoms.
KEYWORD
ischemic stroke, sentinel headache
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