Doctor Sounds Alarm About Certain Type of Sudden, Severe Headache

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00:00Doctor sounds alarm about certain type of sudden, severe headache.

00:04Neurologist Dr. Beibing Chen warned on social media that thunderclap headaches might indicate aneurysms or brain tumors,

00:11especially in those over 50, at higher risk.

00:15Thunderclap headaches manifest as chewing pain, scalp tenderness, and vision changes, peaking in 30 to 60 seconds.

00:22Symptoms like vomiting, nausea, and extreme pain need serious attention.

00:27Thunderclap headaches often indicate brain bleeding.

00:30Known as subarachnoid hemorrhage, which can be life-threatening if untreated.

00:34Typically, these hemorrhages result from ruptured brain aneurysms.

00:38Immediate medical help is crucial for thunderclap headaches.

00:42Treatments include surgery, blood pressure control, and pain medications to address potential life-threatening conditions.

00:50Primary thunderclap headaches often occur in young adults without identifiable causes.

00:54Triggered by activities like exercise, they can recur over several days in some individuals.

01:01Imaging shows brain artery dilation and narrowing, termed reversible cerebral vasoconstriction syndrome, RCVS.

01:09Approximately 30% to 50% of RCVS patients develop brain swelling, strokes, or hemorrhaging.

01:15People with RCVS often require a few days of hospital observation.

01:21Though primary TCH can recur over years, recurrent RCVS episodes are rare, highlighting the importance of vigilant medical monitoring.

01:30Most people resume activities two to four weeks post headache.

01:33Long-term outcomes for TCH and RCVS are benign, but diagnosis is crucial to uncover potential secondary causes and prevent life-threatening scenarios.

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