雷擊性頭痛

雷擊性頭痛（thunderclap headache，TCH）又稱 霹雳性头痛[1]，按定義須滿足兩個條件：[2]

瞬間發作且如爆炸性的嚴重頭痛
在60秒內達疼痛頂點，此時痛覺評分為7分以上

病因

病因多樣化，且分為原發性與次發性。原發性約占75%，而不致命；次發性的有些會危及性命，如蛛網膜下腔出血。[3]

原發性：緊縮型頭痛、偏頭痛、三叉自律神經頭痛
次發性：蜘蛛膜下腔出血、腦靜脈竇血栓、頸部動脈剝離、高血壓急症、自發性顱內低壓、中風、腦膜炎、可逆性腦血管收縮症候群

參考

Todd J Schwedt, MD, MSCI. . UpToDate. [2021-04-14]. （原始内容存档于2021-04-14）.
Dilli, Esma. . Current Neurology and Neuroscience Reports. 2014-03-20, 14 (4): 437. doi:10.1007/s11910-014-0437-9 –Springer Link.
Schwedt, Todd J.; Matharu, Manjit S.; Dodick, David W. . The Lancet. Neurology. 2006-07-01, 5 (7): 621–631 [2021-04-14]. PMID 16781992. doi:10.1016/S1474-4422(06)70497-5. （原始内容存档于2021-05-20） –PubMed.

伸延閱讀

Dodick, DW. . Journal of Neurology, Neurosurgery & Psychiatry. 1 January 2002, 72 (1): 6–11. PMC 1737692 . PMID 11784817. doi:10.1136/jnnp.72.1.6.
Ju, Yo-El; Schwedt, Todd. . Seminars in Neurology. 29 March 2010, 30 (2): 192–200. PMC 3558726 . PMID 20352589. doi:10.1055/s-0030-1249229.
Ducros, A; Bousser, MG. . BMJ. 9 January 2013, 346 (jan08 15): e8557. PMID 23303883. S2CID 2537784. doi:10.1136/bmj.e8557.

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