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Related Concept Videos

Schemas01:42

Schemas

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A schema is a mental construct consisting of a cluster or collection of related concepts (Bartlett, 1932). There are many different types of schemata, and they all have one thing in common: schemata are a method of organizing information that allows the brain to work more efficiently. When a schema is activated, the brain makes immediate assumptions about the person or object being observed.
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Related Experiment Video

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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Thunderclap headache: an update.

Chih-Wen Yang1,2, Jong-Ling Fuh2,3

  • 1a Department of Neurology , National Yang-Ming University Hospital , Ilan , Taiwan.

Expert Review of Neurotherapeutics
|October 19, 2018
PubMed
Summary
This summary is machine-generated.

Thunderclap headache (TCH) requires urgent evaluation for serious causes like subarachnoid hemorrhage (SAH). Reversible cerebral vasoconstriction syndrome (RCVS) is an increasingly recognized cause of TCH.

Keywords:
Thunderclap headachereversible cerebral vasoconstriction syndromesubarachnoid hemorrhage

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Area of Science:

  • Neurology
  • Emergency Medicine
  • Radiology

Background:

  • Thunderclap headache (TCH) is a severe, rapidly peaking headache.
  • Subarachnoid hemorrhage (SAH) is a critical, life-threatening cause of TCH.
  • Prompt diagnosis and management are crucial for TCH patients.

Purpose of the Study:

  • To review current research on TCH clinical features.
  • To update the diagnostic evaluation of TCH.
  • To present the diverse etiologies of TCH.

Main Methods:

  • Review of PubMed-listed research articles.
  • Analysis of clinical features, diagnostic pathways, and causes of TCH.
  • Expert commentary on recent findings.

Main Results:

  • TCH etiologies include SAH, reversible cerebral vasoconstriction syndrome (RCVS), cervical artery dissection, and others.
  • RCVS is a more frequently diagnosed cause of TCH in the last decade.
  • Brain CT is the initial diagnostic test, followed by lumbar puncture if CT is negative.

Conclusions:

  • Urgent evaluation of TCH is essential to rule out SAH.
  • Brain CT and lumbar puncture are key initial diagnostic steps.
  • Further imaging like MRI and vascular studies are needed for non-SAH causes.