CefalÃia sentinela: sinal de alerta da hemorragia subaracnÃidea por ruptura de aneurisma intracraniano

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

Headache is a highly prevalent complaint in the world. Among many causes of headaches, the subarachnoid hemorrhage due to aneurysm rupture is one of the most important, because of the high rate of morbidity and mortality. About one third of the patients with subarachnoid hemorrhage due to a aneurysm rupture present complaints of unusual headaches, sudden onset and severe intensity, preceding hours, days, weeks and months of the subarachnoid hemorrhage, which corresponds to a small bleeding of the aneurysm, also called sentinel headache. We studied 50 patients with aneurysmal subarachnoid hemorrhage, admitted in three public hospitals and one private institution from April to December, 2005. Only patients that were able to answer their complaints were included and patients with unruptured aneurysms were excluded. Of the 50 patients, 9 presented sentinel headache, with female predominance (77.7%) and the age ranging from 32 to 73 years. The interval between the sentinel headache and the subarachnoid hemorrhage was from 2 to 60 days (mean 17.2 days). Of the 9 patients with sentinel headache, 4 seeked health care units and 5 were self-treated. We concluded that the sentinel headache is a warning sign of the subarachnoid hemorrhage present in low prevalence in the patients with aneurysm rupture

ASSUNTO(S)

aneurisma intracraniano cefalÃia sentinela sentinel headache subarachnoid hemorrhage aneurysm rupture hemorragia subaracnÃidea ciÃncias da saÃde

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