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Unlike a migraine, thunderclap headaches seem to come on suddenly. The pain grabs your attention in the same way a clap of thunder does. You can feel pain anywhere on your head or neck. You may even feel it in your back. You might also have several other symptoms, including: Changes in vision. Confusion. Nausea.
Last week in the international medical journal the Lancet, the researchers reported that the women had thunderclap headaches caused by cerebral venous sinus thrombosis - a clot blocking the large vein along the top of the brain. A thunderclap headache was an isolated symptom in 10% of patients with SAH. Any patient who comes in with a thunderclap headache and you're equivocating whether to CT or conduct a lumbar puncture, you never hesitate to overinvestigate that patient because of the early rebleeding risk, he said.