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To investigate the nature of the headache accompanying aneurysmal subarachnoid hemorrhage,
a retrospective study was conducted. Fifty-four patients and 54 controls completed
questionnaires regarding headache, medical history, and family history, in an attempt
to derive further information regarding symptoms and factors that might be predictive
of aneurysmal subarachnoid hemorrhage. Factors that appear to be of importance in
evaluating headache caused by subarachnoid hemorrhage include ominously severe headache,
a history of vigorous physical activity precipitating headache, syncope or transient
lethargy accompanying headache, previous medical attention for headache, a family
history of aneurysmal subarachnoid hemorrhage, or catastrophic central nervous system
event at an early age. An algorithm for the management of serious headache is suggested.
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© 1993 Published by Elsevier Inc.
