A premonitory symptom for subarachnoid hemorrhage: sentinel headache

Year 2013, Volume: 5 Issue: 2, 46 - 49, 01.08.2013

Dr. Bilal Kelten Hakan Erdoğan Şahin Yüceli Ali Osman Akdemir Alper Karaoğlan

Abstract

12% of the patients with subarachnoid hemorrhage SAH die before reaching the hospital while 40% of all die in a month 1 . Most common cause is rupture of an intracranial aneurysm in 75-80% of the patients with SAH 1,2 Many patients have headache as the only symptom, or as the first symptom. Patients may have insignificant headache several days or weeks before SAH happens. This kind of headache is known as the sentinel headache SH and it is related to the cerebral aneurysms. In recent studies, the incidence of sentinel headache in the patients with SAH was evaluated in a range of 10-43% 3,4 . In this study, we discuss a patient who presented with SAH who had a history of severe headache previously.

Keywords

sentinel headache, subarachnoid hemorrhage

Subaraknoid kanama için uyarıcı bir semptom: Sentinel başağrısı

Abstract

Subaraknoid hemorajili SAH hastaların %12'si hastaneye ulaşmadan %40'ı ise ilk 1 ay içinde kaybedilirler. 1 SAH'lı hastaların %75-80' inde neden intrakranial anevrizma rüptürüdür 1,2 aynı zamanda önemli bir kısmında baş ağrısı ilk ve tek semptomdur. Sıklıkla günler ya da haftalar önce meydana gelen ve dikkate alınmayan ya da küçümsenen ciddi baş ağrısı hikayesi vardır. SAH öncesi ortaya çıkan bu baş ağrısı, Sentinel baş ağrısı SB olarak bilinir ve serebral anevrizmalar ile ilişkilidir. Son zamanlarda yapılan çalışmalarda sentinel baş ağrısı oranı SAH'lı hastalarda %10-43 arasında bulunmuştur 3,4 . Biz kliniğimize SAH ile başvuran ve daha önce şiddetli baş ağrısı şikâyeti olan hastayı tartışmak istedik.

Keywords

sentinel baş ağrısı, subaraknoid kanama

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