Online citations, reference lists, and bibliographies.

Thunderclap Headache Attributed To Reversible Cerebral Vasoconstriction: View And Review

M. Valença, L. Andrade-Valença, C. Bordini, J. Speciali
Published 2008 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Thunderclap headache attributed to reversible cerebral vasoconstriction (THARCV) is a syndrome observed in a number of reported cases. In this article we reviewed this new headache entity (idiopathic form) using the clinical-radiological findings of 25 reported patients. In this series of patients 72% were women, the mean age at the onset of first headache episode was 39.4 ± 2.3 years. In addition to the sine qua non condition of being abrupt and severe (thunderclap) at the onset, the headache was usually described as being explosive, excruciating, or crushing. The feature of pulsatility, accompanied or not by nausea was described by 80% of the patients. Forty percent of the cases manifested vomiting and 24% photophobia. Usually the headache was generalized, and in three cases it was unilateral at least at the onset. In 21 of 25 patients (84%) there was at least one recurrence or a sudden increase in the intensity of the headache. A past history of migraine was present in 52% of the patients. Precipitating factors were identified in 56% of the patients. Sexual intercourse was described by six patients. Of the 25 patients with THARCV syndrome studied, 12 (48%) developed focal neurological signs, transitory ischemic attack (n = 1), or ischemic stroke (n = 11, 44%), and two (8%) of them manifested seizures. The THARCV syndrome is a neurological disturbance perhaps more frequent than expected, preferentially affecting middle aged female migraineurs, and having an unpredictable prognosis, either showing a benign course or leading to stroke.
This paper references
10.1016/S0140-6736(86)92764-9
THUNDERCLAP HEADACHE AND UNRUPTURED CEREBRAL ANEURYSM
R. Abbott (1986)
10.1001/archneur.1978.00500330060012
Isolated benign cerebral vasculitis.
B. Snyder (1978)
Mechanism and Management of Headache Butterworth-Heinemann, Oxford 85 Abrupt severe headache associated with cerebral artery narrowing (ASHCAN): a new headache syndrome
Jw Lance (1998)
[Explosive "thunderclap" headaches: should they be taken seriously?].
V. Delvaux (2000)
10.1046/j.1468-2982.1998.1806329.x
Endothelin in Migraine Patients
M. Kallela (1998)
10.1136/jnnp.53.3.266
Persistent segmental cerebral artery constrictions in coital cephalgia.
R. Kapoor (1990)
10.1161/01.STR.22.11.1437
Cerebral Vasculitis Associated With Cocaine Abuse
R. Fredericks (1991)
10.1111/J.1526-4610.1985.HED2508429.X
Migraine and Cerebral Infarction; Three Case Studies
A. Carneiro (1985)
Cephalees explosives, "en coup de tonnerre": faut-il s'inquieter?
V. Delvaux (2000)
10.1152/ajpcell.1988.255.1.C1
In search of a second messenger for insulin.
A. Saltiel (1988)
10.1111/j.1526-4610.2004.04054.x
Cerebral Vasospasm and Headache During Sexual Intercourse and Masturbatory Orgasms
M. Valença (2004)
BROMOCRIPTINE‐ASSOCIATED HEADACHE: POSSIBLE LIFE‐THREATENING SYMPATHOMIMETIC INTERACTION
K. Kulig (1991)
10.1046/j.1468-2982.1993.1306427.x
Migraine Angiitis Precipitated by Sex Headache and Leading to Watershed Infarction
M. Jackson (1993)
10.1001/archneur.1987.00520190085021
Unusual manifestations of nervous system Borrelia burgdorferi infection.
R. Midgard (1987)
10.1111/j.1526-4610.1979.hed1905257.x
Abnormal Cerebrovascular Reactivity in Patients with Migraine and Cluster Headache
F. Sakai (1979)
10.1161/01.STR.19.3.326
Cerebral vasospasm and eclampsia.
B. Trommer (1988)
10.1002/(SICI)1520-6661(199607/08)5:4<194::AID-MFM6>3.0.CO;2-F
Transcranial Doppler findings of cerebral vasospasm in preeclampsia.
W. Hansen (1996)
10.1097/00001756-199902050-00039
Simultaneous monitoring of endothelin-1 and vasopressin plasma levels in migraine.
M. Hasselblatt (1999)
10.1001/archneur.1976.00500040065011
Symptoms of pheochromocytoma, with particular reference to headache, correlated with catecholamine production.
J. Lance (1976)
10.3171/jns.1970.32.6.0626
Intracranial arterial spasm associated with craniocerebral trauma.
R. Wilkins (1970)
10.1002/ana.410280610
Timing and topography of cerebral blood flow, aura, and headache during migraine attacks
J. Olesen (1990)
10.1227/00006123-198511000-00011
Delayed cerebral vasospasm after uncomplicated operation on an unruptured aneurysm: case report.
S. Bloomfield (1985)
Nitric oxide synthase inhibition in the histamine headache
L Schmetterer (1997)
10.1046/J.1468-2982.2001.00171.X
Recurrent Thunderclap Headache Associated with Reversible Vasospasm Causing Stroke
R. Garg (2001)
Hypertensive encephalopathy presenting with thunderclap
DF Tang-Wai (2001)
10.34024/rnc.1999.v7.8964
Cefaléia Associada a Atividade Sexual com Vasoespasmo
Kleber Edson Kawagoe (1999)
10.7326/0003-4819-73-6-1055_1
Mechanism and management of headache
J. Lance (1973)
10.1111/J.1468-2982.2004.00711.X
A Report on the Journal 2004
P. Goadsby (2004)
10.1111/j.1526-4610.1985.hed2505240.x
Complicated Migraine and Cerebral Angiography: a Report of an Unusual Adverse Reaction
J. Kwentus (1985)
10.1111/j.1526-4610.1991.hed3106396.x
An Unusual Angiographic Picture in Status Migrainosus
E. Schulman (1991)
10.1007/BF00333181
Cerebral angiographic changes on serial examination of a patient with migraine
T. Masuzawa (1983)
Case records of the Massachusetts General Hospital ( case 35 – 1985 )
JC Jennette (1997)
10.1093/brain/118.1.307
Pathophysiology of the migraine aura: the spreading depression theory.
T. Olsen (1995)
10.1136/hrt.47.1.84
Coital blood pressure in hypertensives. Cephalgia, syncope, and the effects of beta-blockade.
S. Mann (1982)
10.1046/j.1468-2982.1997.1703191.x
Cerebrovascular Reactivity in Migraine During Headache-Free Intervals
R. Totaro (1997)
Cerebral reversible vasoconstriction syndrome in a thunderclap headache patient–spiral CT vascular and perfusion abnormalities. Migrâneas Cefaléias
F Kowacs (2006)
10.1161/01.RES.57.5.781
Superoxide generation and reversal of acetylcholine-induced cerebral arteriolar dilation after acute hypertension.
E. P. Wei (1985)
10.1161/01.STR.17.5.1033
Late-life migraine accompaniments--further experience.
C. Fisher (1986)
CNS vasculitis in autoimmune disease: MR imaging findings and correlation with angiography.
M. Pomper (1999)
10.1152/physrev.1990.70.4.921
Structure and function of small arteries.
M. Mulvany (1990)
10.1001/archneurol.2009.76
Primary angiitis of the central nervous system.
J. Birnbaum (2009)
10.1161/01.HYP.8.10.911
Response of cerebral arteries to sympathetic stimulation during acute hypertension.
K. Tamaki (1986)
10.1136/jnnp.27.5.440
Death due to cerebral vasospasm
R. Buckle (1964)
10.1111/j.1526-4610.2008.01121.x
The International Classification of Headache Disorders
J. Olesen (2008)
10.1046/j.1528-1157.2001.41900.x
Typical and Atypical Perfusion Patterns in Periictal SPECT of Patients with Unilateral Temporal Lobe Epilepsy
L. Wichert-Ana (2001)
10.1046/J.1468-2982.1999.019002118.X
Nonaneurysmal Thunderclap Headache with Diffuse, Multifocal, Segmental, and Reversible Vasospasm
D. Dodick (1999)
10.1046/j.1468-2982.1997.1703175.x
Nitric Oxide Synthase Inhibition in the Histamine Headache Model
L. Schmetter (1997)
10.1017/S0317167100007381
Reversible cerebral vasoconstriction syndrome or primary angiitis of the central nervous system?
P. Gerretsen (2007)
10.1046/j.1468-2982.1990.1002095.x
Cerebrovascular Reactivity in Migraineurs as Measured by Transcranial Doppler
T. D. Thomas (1990)
10.1111/j.1445-5994.1989.tb00308.x
Angiographically demonstrated arterial spasm in a case of benign sexual headache and benign exertional headache.
P. Silbert (1989)
10.1046/j.1526-4610.1997.3709594.x
Migrainous Stroke Causing Thalamic Infarction and Amnesia During Treatment With Propranolol
J. E. Mendizabal (1997)
10.1002/ana.410100509
Angiographic findings in herpes zoster arteritis
R. Mackenzie (1981)
Cerebral arterial narrowing: differential diagnosis, pathophysiology and correlation with headache syndromes
MM Valença (2002)
10.1097/00005792-198801000-00002
Primary Angiitis of the Central Nervous System: REPORT OF 8 NEW CASES, REVIEW OF THE LITERATURE, AND PROPOSAL FOR DIAGNOSTIC CRITERIA
L. Calabrese (1988)
10.1212/WNL.44.8.1556-b
Migrainous stroke
J. Rothrock (1994)
10.1148/109.2.327
Cerebral arteritis: classification.
E. Ferris (1973)
10.1046/j.1468-2982.1984.0403171.x
Reversible Cerebral Arteriopathy Associated with the Administration of Ergot Derivatives
P. Henry (1984)
Segmental cerebral constriction associated with pheochromocytoma
Csf Armstrong (1961)
Migraine and cerebral infarction; three case studies.
J. M. Pereira Monterio (1985)
10.1001/ARCHNEUR.62.12.1937
Mechanism and Management of Headache, 7th ed
N. Rosen (2005)
10.7326/0003-4819-146-1-200701020-00007
Narrative Review: Reversible Cerebral Vasoconstriction Syndromes
L. Calabrese (2007)
10.1007/BF00333180
Arterial spasm as a finding intimately associated with the onset of vascular headache
J. D. Garnic (1983)
10.1136/jnnp.47.1.73
Isolated benign cerebral vasculitis or migrainous vasospasm?
M. Serdaru (1984)
10.1056/NEJM197103042840920
Angiitis in drug abusers.
Johnson Te (1971)
Migraine and cerebral infarction
F. Titus-Albareda (1990)
10.1007/978-3-642-28753-4_201526
Ophthalmoplegic migraine.
T. Bailey (1984)
10.1093/BRAIN/AWM256
The clinical and radiological spectrum of reversible cerebral vasoconstriction syndrome. A prospective series of 67 patients.
A. Ducros (2007)
10.1017/S0317167100025063
Cerebral hemodynamics in migraine.
V. Hachinski (1977)
10.1152/ajpheart.1988.255.1.H1
Trigeminalectomy modifies pial arteriolar responses to hypertension or norepinephrine.
M. Moskowitz (1988)
10.1056/NEJM200012213432509
Case records of the Massachusetts general hospital
R. E. Scully (1990)
10.1212/WNL.14.7.636
Cerebral arteriography during migraine prodrome and headache
H. T. Dukes (1964)
Arterial supersensitivity to nitric oxide in migraine sufferers
LL Thomsen (1993)
Nitric oxide supersensitivity. A possible mechanism of migraine pain
J Olesen (1993)
Clinical and angiographic features of thunderclap
A Slivka (1995)
J Headache Pain
(2008)
10.1097/00001756-199308000-00008
Nitric oxide supersensitivity: a possible molecular mechanism of migraine pain.
J. Olesen (1993)
10.1046/j.1468-2982.1993.1306395.x
Arterial Supersensitivity to Nitric Oxide (Nitroglycerin) in Migraine Sufferers
L. Thomsen (1993)
10.1111/j.1600-0404.1994.tb01632.x
Endothelin 1 in migraine and tension‐type headache
V. Gallai† (1994)
Abrupt severe headache associated with cerebral artery narrowing (ASHCAN): a new headache syndrome
MM Valença (2002)
Accidents vasculaires cerebraux de la grossesse et du post partum
A Rascol (1980)
10.1016/S0140-6736(86)92677-2
THUNDERCLAP HEADACHE: SYMPTOM OF UNRUPTURED CEREBRAL ANEURYSM
J. W. Day (1986)
10.1001/archneur.1969.00480100038005
Motor nuclear involvement in progressive supranuclear palsy.
H. Blumenthal (1969)
Headache associated with sexual activity
A. Larner (2006)
10.1161/01.STR.19.9.1108
Abnormalities of interictal cerebral perfusion in classic but not common migraine.
H. Lagreze (1988)
Response of large and small cerebral arteries to sympathetic stimulation during acute hypertension
K Tamaki (1986)
Cerebral vasospasm and
MM Valença (2004)
10.1212/01.WNL.0000083988.98336.A3
Headache associated with sexual activity
A. Frese (2003)
Case records of the Massachusetts General Hospital (case 35– 1985)
10.1111/j.1526-4610.1990.hed3002052.x
Arterial Stenosis in Migraine: Spasm or Arteriopathy?
S. Solomon (1990)
10.1097/00000478-199502000-00002
Lymphoma of the kidney. A report of 11 cases.
J. Ferry (1995)
10.1097/00004647-200105000-00015
Changes in Human Regional Cerebral Blood Flow and Cerebral Blood Volume during Visual Stimulation Measured by Positron Emission Tomography
H. Ito (2001)
10.1161/01.STR.19.9.1159
Reversible cerebral segmental vasoconstriction.
G. Call (1988)
10.1152/physrev.1990.70.4.963
Overflow of catecholamine neurotransmitters to the circulation: source, fate, and functions.
M. Esler (1990)
10.1111/j.1526-4610.2001.hed01027.x
Spontaneous Oscillations in Cerebral Blood Flow Velocity Give Evidence of Different Autonomic Dysfunctions in Various Types of Headache
U. Sliwka (2001)
10.1001/archinte.1991.00400110132025
Clinical analysis of isolated angiitis of the central nervous system. A report of 11 cases.
R. Crane (1991)
10.1046/j.1468-2982.2000.00053.x
Recurrent Thunderclap Headache Associated With Reversible Intracerebral Vasospasm Causing Stroke
J. Sturm (2000)
Segmental cerebral constriction associated with pheochromocytoma. Report of a case with arteriograms
CSF Armstrong (1961)
10.1046/j.1468-2982.1993.1304229-3.x
A Gonadotropin-Releasing Hormone Analog in Chronic Cluster Headache
K. Ekbom (1993)
10.1097/00006123-199810000-00083
Endothelin and subarachnoid hemorrhage: an overview.
Martin Zimmermann (1998)
Cerebral arteriography during migraine and headache
MT Dukes (1964)
10.1111/j.1526-4610.1990.hed3011727.x
Angiographic Changes Suggestive of Vasospasm in Migraine Complicated by Stroke
E. Spierings (1990)
Cerebral reversible vasoconstriction syndrome in a thunderclap headache patient – spiral CT vascular and perfusion abnormalities
F Kowacs (2006)
10.1212/01.wnl.0000249115.63436.6d
Recurrent primary thunderclap headache and benign CNS angiopathy
S-P Chen (2006)
10.1002/ana.410200316
Cerebral granulomatous angiitis associated with isolation of human T‐lymphotropic virus type III from the central nervous system
B. Yankner (1986)
10.3171/jns.1961.18.6.0843
Segmental cerebral arterial constriction associated with pheochromocytoma: report of a case with arteriograms.
F. Armstrong (1961)
10.1017/S0317167100007381
Syndrome de vasoconstriction cérébrale segmentale réversible ou angéite primitive du Systeme nerveux central
P. Gerretsen (2007)
10.5694/j.1326-5377.1978.tb76855.x
Cerebral arteritis associated with heroin abuse.
J. King (1978)
10.1161/01.RES.52.5.527
Effects of sympathetic stimulation and changes in arterial pressure on segmental resistance of cerebral vessels in rabbits and cats.
G. Baumbach (1983)
10.1212/WNL.56.10.1273
Association between migraine and endothelin type A receptor (ETA −231 A/G) gene polymorphism
C. Tzourio (2001)
10.1046/j.1526-4610.2001.111006198.x
Hypertensive Encephalopathy Presenting With Thunderclap Headache
D. Tang-Wai (2001)
10.1111/j.1526-4610.1995.hed3501001.x
Clinical and Angiographic Features of Thunderclap Headache
A. Slivka (1995)
10.1111/j.1526-4610.1987.hed2707381.x
Stroke in Migraine as a Consequence of Propranolol
A. Bardwell (1987)



This paper is referenced by
10.1007/s10194-011-0302-z
Focus on the management of thunderclap headache: from nosography to treatment
E. Ferrante (2011)
10.1016/B978-84-458-2063-6.00018-8
18 – Cefalea en trueno
Mariano Huerta Villanueva (2011)
Síndrome de vasoconstricción cerebral reversible con hemorragia subaracnoidea: reporte de caso Reversible cerebral vasoconstriction syndrome with subarachnoid haemorrhage: a case report
J. Coral (2009)
10.1007/s11916-010-0106-x
Reversible Cerebral Vasospasm, Multilobular Intracerebral Hemorrhages, and Nonaneurysmal Subarachnoid Hemorrhage: Review of Possible Interrelationships
Philippe Hantson (2010)
Migraine Stroke in a young man from Sudan: a Case Report
Osheik Seidi (2016)
10.1136/bcr-2014-206913
Idiopathic reversible cerebral vasoconstriction syndrome (RCVS)
T. Abkur (2014)
Case Report Dramatic Intracerebral Hemorrhagic Presentations of Reversible Cerebral Vasoconstriction Syndrome : Three Cases and a Literature Review
Joel M. Stary (2017)
10.1080/09602011.2016.1257434
Reversible cerebral vasoconstriction syndrome
M. Perdices (2018)
10.3995/JSTROKE.37.31
入浴を契機に著明な血圧上昇を伴う雷鳴頭痛を繰り返したreversible cerebral vasoconstriction syndromeの1症例
英之 秋山 (2015)
10.1586/erc.10.124
Systematic review of reversible cerebral vasoconstriction syndrome
A. Sattar (2010)
10.1016/J.NRL.2012.01.004
Puérpera con disnea y crisis epiléptica
Abel Baquero Escribano (2013)
10.1111/imj.12669
Reversible cerebral vasoconstriction syndrome.
Zeljka Calic (2015)
PUERPERA WITH DYSPNOEA AND EPILEPTIC SEIZURE 323 Puerpera with dyspnoea and epileptic seizure
(2017)
10.1177/0333102410364675
Clinical features, imaging findings and outcomes of headache associated with sexual activity
Yen-Chi Yeh (2010)
10.4067/S0034-98872010000800009
Reversible cerebral vasoconstriction syndrome
P. A. S. R. Filho (2010)
10.4236/ASM.2017.72005
Sexual Behavior, Function and Satisfaction in Headache Associated with Sexual Activity: A Systematic Review of Literature
Wei-Hsi Chen (2017)
10.1097/MD.0000000000018254
Reversible cerebral vasoconstriction with thunderclap headache
Jae Young Ji (2019)
10.1111/NCN3.12322
Clinical practice guideline for chronic headache 2013
N. Araki (2019)
10.15157/EA.V0I0.10824
Reversiibel tserebraalne vasokonstriktsiooni sündroom. Ülevaade ja haigusjuhu kirjeldus
Liis Sabre (2011)
10.1016/J.NRLENG.2012.01.005
Puerpera with dyspnoea and epileptic seizure.
Amaya Barjau Escribano (2013)
10.1016/j.clineuro.2017.10.026
Pornography headache
Wei-Hsi Chen (2018)
10.1007/s10072-011-0673-6
A case of cerebellar infarction presenting as thunderclap headache
Yoon-Sik Jo (2011)
10.7759/cureus.8374
A Case of Reversible Cerebral Vasoconstriction Syndrome in a Healthy Adult Male
Alysha Roberts (2020)
10.1016/S0221-0363(09)73272-X
Aspects radio cliniques de l’angiopathie cérébrale aiguë réversible
Florence Brami (2009)
10.1111/head.12512
Headache Research and Medical Practice in Brazil: An Historical Overview
Marcelo Moraes Valença (2015)
10.1111/j.1468-2982.2009.01891.x
Thrombolytic treatment of ischaemic stroke occurring during a migrainous attack: A case report
David Školoudík (2010)
10.1007/s10194-009-0120-8
Possible overlap between reversible cerebral vasoconstriction syndrome and symptomatic vasospasm after aneurysmal subarachnoid hemorrhage
P. Forget (2009)
Reversible cerebral vasoconstriction syndrome with increased intracranial pressure, probably related to altitude changes and windy winter travelling.
Chaitawat Tienviboon (2011)
10.1155/2014/782028
Dramatic Intracerebral Hemorrhagic Presentations of Reversible Cerebral Vasoconstriction Syndrome: Three Cases and a Literature Review
J. Stary (2014)
Semantic Scholar Logo Some data provided by SemanticScholar