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Warning Headache in Aneurysmal Subarachnoid Hemorrhage

Warning Headache in Aneurysmal Subarachnoid Hemorrhage Abstract To the Editor. —Verweij and colleagues1 are to be complimented on their work reported in the September 1988 issue of the Archives. Neurologists and neurosurgeons regularly are confronted with patients who had had a recent sudden onset of an unusual headache, the patient having been told to take some aspirin (probably contraindicated if an aneurysm has ruptured) and return to the doctor's office or emergency room if symptoms persist. As fewer and fewer medical students get any exposure to neurosurgery, failure to recognize or suspect this "warning leak" can only increase in incidence.The early warning symptoms of a subarachnoid hemorrhage are well known.2 Of interest is the first description by Collier in 1931.3A lady who was touring in the country developed so severe a headache that she decided to return home, and drove her car from Liverpool to London without a break. I saw her immediately References 1. Verweij RD, Wijdicks EFM, van Gijn J. Warning headache in aneurysmal subarachnoid hemorrhage, a case-control study . Arch Neurol . 1988;45:1019-1020.Crossref 2. Fox JL. Intracranial Aneurysms . New York, NY: Springer-Verlag NY Inc; 1983;1:119-121. 3. Collier J. Observations on cerebral haemorrhage due to causes other than arteriosclerosis . Br Med J . 1931;2:519-521.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Warning Headache in Aneurysmal Subarachnoid Hemorrhage

Archives of Neurology , Volume 46 (8) – Aug 1, 1989

Warning Headache in Aneurysmal Subarachnoid Hemorrhage

Abstract

Abstract To the Editor. —Verweij and colleagues1 are to be complimented on their work reported in the September 1988 issue of the Archives. Neurologists and neurosurgeons regularly are confronted with patients who had had a recent sudden onset of an unusual headache, the patient having been told to take some aspirin (probably contraindicated if an aneurysm has ruptured) and return to the doctor's office or emergency room if symptoms persist. As fewer and fewer medical students get...
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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1989.00520440019005
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Verweij and colleagues1 are to be complimented on their work reported in the September 1988 issue of the Archives. Neurologists and neurosurgeons regularly are confronted with patients who had had a recent sudden onset of an unusual headache, the patient having been told to take some aspirin (probably contraindicated if an aneurysm has ruptured) and return to the doctor's office or emergency room if symptoms persist. As fewer and fewer medical students get any exposure to neurosurgery, failure to recognize or suspect this "warning leak" can only increase in incidence.The early warning symptoms of a subarachnoid hemorrhage are well known.2 Of interest is the first description by Collier in 1931.3A lady who was touring in the country developed so severe a headache that she decided to return home, and drove her car from Liverpool to London without a break. I saw her immediately References 1. Verweij RD, Wijdicks EFM, van Gijn J. Warning headache in aneurysmal subarachnoid hemorrhage, a case-control study . Arch Neurol . 1988;45:1019-1020.Crossref 2. Fox JL. Intracranial Aneurysms . New York, NY: Springer-Verlag NY Inc; 1983;1:119-121. 3. Collier J. Observations on cerebral haemorrhage due to causes other than arteriosclerosis . Br Med J . 1931;2:519-521.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Aug 1, 1989

References