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Sun-Hee Kim 1 Article
비전형적인 임상 양상을 보인 지주막하 출혈에 의한 벼락두통 환자 1례
Seo-Young Choi, Sun-Hee Kim, Seoung-Rae Jo, Sang-Jun Lee
Korean J Headache. 2008;9(1):44-48.   Published online June 30, 2008
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Subarachnoid hemorrhage (SAH) w hich usually presented with the thunderclap headache is the disease that has significant m ortality. Therefore, the diagnosis of SAH deserves special emphasis. A 69-year-old female visited at the emergency room due to the headache. In the brain CT only ischemic change w as revealed. H owever, dark signals in the sulci on the temporo-parietal lobe w ere shown in the GRE of brain M RI. A dissecting aneurysm of the posterior cerebral artery w as detected on the digital subtraction angiography. If the patient presented w ith the thunderclap headache, a further evaluation should be proceeded in view of the fact that the dark signals of GRE can be an acute subarachnoid hemorrhage.

Headache and Pain Research : Headache and Pain Research