acute severe headache thunderclap headache
Conditions
Interventions
Sponsors
Neurologie
Eligibility
Age
18 Years to 64 Years
Inclusion criteria
Inclusion criteria: - Acute severe headache, with a maximum within five minute, lasting longer than 1 hour. - Worst headache ever experienced - Normal neurological examination - Normal standard head CT, without lumbar puicture if performed 6 hours a lumbar puncture with normal chemistry and opening pressure.
Exclusion criteria
Exclusion criteria: - Abnormalities on standard head CT; hemorraghe, recent ischaemia, tumor. - focal abnormalities at neurological examination - Abnormalities in CSF chemistry of opening pressure, if lumbar puncture is performed. - Poor of bad kindey function,defined by an eGFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - The number of intracranial abnormalities in this group found by CTA. - All CTA's will be evaluated by experienced neuro-radiologists - The presence of SAH, unruptured aneurysms, cerebral venous thrombosis, carotid or vertrebral arterial dissection and reversible vasocontstriction syndrome will be monitored. - Headache and patient characteristics will be determined in order to apply CTA more purposefully in the future - The number of changed diagnosis due to CTA performance will ben monitored. | — |
Countries
The Netherlands
Outcome results
None listed