A thunderclap headache can drive you to your knees during a matter of seconds. this sort of pain is of a sudden onset, and peaks within seconds. The pain are often on either side of the top , back of the top or maybe everywhere .


The pain is disabling but may thunderclap headache after sneezing linger up to 10 days. What we worry about with thunderclap headaches is that the cause behind them. this might truly be a dangerous headache or an emergency headache. what's also of concern is that if you've got never had this type of pain before.


Causes of Thunderclap Headaches


At times a severe migraine may  appear suddenly sort of a thunderclap headache. What may worry medical professionals is that the potential underlying cause:


Bleeding between the brain and membranes covering the brain


A bulge during a vessel within the brain(aneurysm) which can start to leak or rupture 


A tear within the lining of an artery referred to as dissection


A tear within the membrane surrounding the brain and medulla spinalis , causing a spinal fluid leak

Diagnosis and Testing

CT of brain. this is often probably ordered emergently to rule out a bleed of any sort, or a cyst within the brain. CT's are a sort of X-ray radiation whereas an MRI uses magnets and therefore the differences between water and tissue to see the brain. this provides much sharper images than a CT. Angiogram: If your doctor suspects an aneurysm, an angiogram could also be ordered. this is often an injection of dye to urge a really close check out the arteries.

Treatment

Treatment of this sort of headache is directed at the underlying cause, so there's nobody treatment that matches all so to talk .

Aneurysms are generally watched and followed with regular imaging studies if they're 5mm or less. Anything over that needs the opinion of a neurosurgeon on whether or not they ought to have an operation. Treatment for this involves clipping the aneurysm or coiling inside it. Strokes or bleeding are managed counting on the location and length of your time from the bleed. Meningitis or encephalitis would require an in hospital stick with proper monitoring and medications.