Severe explosive headache: a sole presentation of acute myocardial infarction in a young man

Shin Kong Wu Ho-Su Memorial Hospital, T’ai-pei, Taipei, Taiwan
American Journal of Emergency Medicine (Impact Factor: 1.15). 03/2007; 25(2):250-1. DOI: 10.1016/j.ajem.2006.11.014
Source: PubMed
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    ABSTRACT: There are many potential causes of sudden and severe headache (thunderclap headache), the most important of which is aneurysmal subarachnoid haemorrhage. Published academic reviews report a wide range of causes. We sought to create a definitive list of causes, other than aneurysmal subarachnoid haemorrhage, using a systematic review.
    The Journal of Headache and Pain 08/2014; 15(1):49. DOI:10.1186/1129-2377-15-49 · 3.28 Impact Factor
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    ABSTRACT: OBJECTIVE/BACKGROUND.: Some headache syndromes have few cases reported in the literature. Their clinical characteristics, pathogenesis, and treatment may have not been completely defined. They may not actually be uncommon but rather under-recognized and/or underreported. METHODS.: A literature review of unusual headache syndromes, searching PubMed and ISI Web of Knowledge, was performed. After deciding which disorders to study, relevant publications in scientific journals, including original articles, reviews, meeting abstracts, and letters or correspondences to the editors were searched. FINDINGS.: This paper reviewed the clinical characteristics, the pathogenesis, the diagnosis, and the treatment of five interesting and unusual headache syndromes: exploding head syndrome, red ear syndrome, neck-tongue syndrome, nummular headache, and cardiac cephalgia. CONCLUSIONS.: Recognizing some unusual headaches, either primary or secondary, may be a challenge for many non-headache specialist physicians. It is important to study them because the correct diagnosis may result in specific treatments that may improve the quality of life of these patients, and this can even be life saving.
    Headache The Journal of Head and Face Pain 01/2013; 53(1):12-22. DOI:10.1111/head.12002 · 3.19 Impact Factor
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    ABSTRACT: Although most of the patients presenting with ischemic heart disease have chest pains, there are other rare presenting symptoms like car-diac cephalgia. In this report, we present a case of acute coronary syndrome with an only presentation of exertional headache. It was postulated as acute presentation of coronary artery disease, due to previous history of similar presentation associated with some chest pains with previous left coronary artery stenting. We present an unu-sual case with cardiac cephalgia in a young patient under the age of 50 which was not reported at that age before. There are four suggested mechanisms for this cardiac presentation.