KMID : 1040020200110020042
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International Journal of Pain 2020 Volume.11 No. 2 p.42 ~ p.47
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Headache as the Prodromal Symptom of Ischemic Stroke
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Ro Su-Ho
Kim Yong-Kyun Jeong Yun-Hyeong Ann So-Ei Suh Bum-Chun
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Abstract
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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.
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KEYWORD
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ischemic stroke, sentinel headache
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