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[Headache simulating meningeal hemorrhage]

A Salloum, M Lebel, J Reiher

    Revue Neurologique
    |February 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Severe headaches mimicking subarachnoid hemorrhage can be a presentation of complicated migraine. Recognizing this condition avoids unnecessary, risky diagnostic procedures for patients with explosive headaches.

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    Area of Science:

    • Neurology
    • Neuroscience

    Background:

    • Subarachnoid hemorrhage (SAH) is a critical condition characterized by sudden, severe headache.
    • Diagnosing the cause of explosive headaches requires a comprehensive differential diagnosis.

    Observation:

    • Seven patients presented with sudden, severe headaches mimicking SAH.
    • Extensive investigations, including neuroimaging and cerebrospinal fluid analysis, ruled out SAH and other serious causes.
    • Three patients had no prior history of migraines.

    Findings:

    • The study identified a syndrome of benign, explosive headaches that mimic SAH.
    • This presentation can occur in patients with or without a history of migraine.
    • The condition, termed "complicated migraine with meningeal manifestations," is underrecognized.

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    Implications:

    • Accurate diagnosis of this migraine variant can prevent unnecessary invasive procedures.
    • Clinicians should consider complicated migraine in the differential diagnosis of sudden-onset severe headaches.
    • Improved recognition can lead to more appropriate patient management and reduced healthcare costs.