Thunderclap Headache

[@doug5203]

I'm a current neuroradiology fellow who graduated from RWJMS, which is how I stumbled upon this. Have got to say, seriously impressive, polished work on your case presentations. I can only imagine the hours that went into it.

[@theneurophile]

Thank you! If you have some time and a topic you find interesting, consider collaborating for a video.

[@vxp999]

Happiest days of my life is the days when the neurophile posts new vides!🙏🏽 Finally you guys are back🥳

[@theneurophile]

I am sorry that it took so long to make this video.

[@richardbocek4399]

@@theneurophile Is it Christmas again? :D

[@jsr44444]

It was suffering a thunderclap headache 3 weeks ago that raised suspicion for my GP. He recommended I go to the emergency department for a CT scan which showed i had CVST! I wish thunderclap headaches were more widely known about because it actually saved my life as it was likely my GP wouldn’t have responded so quickly if it was a general headache!

[@theneurophile]

I’m glad that you got the help you needed and I hope you are doing better. The purpose of this video is just that - to teach doctors to recognize this entity.

[@jsr44444]

@@theneurophile thank you for your vital work and raising awareness 😊

[@frankrobert1917]

the most comprehensive and best neurology lectures in KZbin channel.

[@theneurophile]

Thank you!

[@thiagoschernikau4769]

I was just wondering what to study today and stumbled upon yet another one of your fantastic videos. Keep up the great work!

[@theneurophile]

Glad to hear it!

[@rayan5862]

I just discovered your channel, it's amazing, I hope you make a video about lesion localisation

[@theneurophile]

Welcome. Yes we are working on a large neuroanatomy/localization/neurological examination video.

[@ludvigmansson9875]

Wonderful presentation. As a medical student, these videos are superb! Thank you!

[@tao072002]

I'm an internal medicine resident and unfortunately, neurology is placed off to the side in our training, so these videos are so so helpful for teaching on neurology topics. Thanks Neurophile!

[@theneurophile]

This is a sad fact in many places - medicine residents don’t get enough neurology. I applaud your initiative. Keep learning!

[@georgebashour4333]

Another neurophile video, another happy day in my life... Also, this is on time with me revising neurology for my medical school national exams💙 Thank you for these great lectures

[@abdou.b3259]

Doctor, I am a medical student. Today, a 69-year-old woman came to us and said that she suffers from slurred speech compared to the past, and that she has a curvature in the back, weight loss, and feels tired and she have hypotonia. And Mri was normal

[@kimberleymarkova3641]

Most people don't even get out of their house when hit by the Thunderclap, onset of pain to peak (10/10), less than 3 minutes, weakness, collapsed, nausea, instantly unconscious. Was on SSRIs. NASAH June 2015. Survived, thank God. 6 weeks in hospital (Salpetriere in Paris) ❤ who saved my life

[@theneurophile]

Thank you for that perspective. I hope you are feeling better now.

[@lavendergooms7958]

Excellent presentation.

[@maryambahadori-k9k]

nice radiology examples

[@Charles00-i5c]

I suffer from autoimmune meningoencephalitis (non-infectious) caused by meningoradiculitis ( nerve root meninges inflammation). My body now has trouble regulating normal CSF pressure, especially when changing positions. I suffer from thunder clap headaches often. I am in so much pain i am unable to move or ask for help. Arachnoiditis (meningitis) can cause this by damaging CSF pressure regulation. Spinal sanitation problems. The most common cause of spine and brain inflammation aka meningoencephalitis. Waste accumulation causes body to attack itself and when inside the, brain and spine, this can form lesions on various neurological systems as well as intracranial hyper and hypo tension symptoms. Spinal fluid flow obstruction is a likely contributer to thunderclap headache as well. Mechanical meningitis is one of three known causes of meningitis. Infection and chemical are the other two. Examples of mechanical meningitis is genetics, cysts i.e. tarlov, and physical damage like slip disc. Modern misconceptions ignore mechanical meningitis like i am diagnosed with. I found most doctors incorrectly defined meningitis as an infection not inflammation. My spinal and brain inflammation aka meningoencephalitis was ignored until it was self evident. By then it was too late for me. Infection is one of three known causes of meningitis. Not meningitis itself. Someone may have an infection in spine without inflammation ( meningitis). There is nothing in science that states meningitis is an infection but can be caused by infections, chemicals, and mechanical (i e. Genetics or physical damage). Please i have suffered greatly due to this misconception and ask for scientific accuracy. OVERVIEW OF ACUTE AND CHRONIC MENINGITIS www.ncbi.nlm.nih.gov/pmc/articles/PMC7132757/

[@theneurophile]

I am sorry to hear about your illness. We certainly teach our medical students that meningitis can be caused by infection, inflammation or even malignancy.

[@caiyu538]

Very great kecture.

[@dr.nikhilagrawal3854]

Please make a video on approach to neuropathy

[@YairGatt]

Wonderful talk, really helpful and complements the amazing headaches talk on this channel! A small question - a couple of years ago you mentioned a new MS video was in the works, is there any expected release soon?

[@theneurophile]

Unfortunately we are waiting for new MS faculty to join us, who will serve as content experts. Hopefully the talk will be ready at the end of the summer.

[@desertdweller129]

thank you for this video ❤

[@TEST-zh7ej]

Hi, doctors. I would like to know if is there a particular software used or recommended to make presentations like this? Thanks for the content, this a great video and I am amazed by the quality of the presentation.

[@theneurophile]

The software is Microsoft PowerPoint.

[@mariosgavriil5286]

May I ask a question? What is the role of d-dimers? Should they be ordered for all patients with thunderclap headache as screening? And then if they are positive we will be more inclined to procede with a ct venography. Should we reserve them only for cases when we suspect aa venous thrombosis? There a lot of causes of eleveted d-dimers so there are a lot of false positive results. Nonetheless a number off the charts would point us in the direction of thrombosis and maybe a dissection too.. I am a new neurology resident just starting next week so i would really apreciate your thoughts on the issue. Thanks for all this hard work.

[@theneurophile]

D.dimer is not a good screening test. It has a nice negative predictive value, but that's about it (we almost never use it for that purpose). Where d.dimer is truly useful is correlation with clot burden. If you have a patient with CVT and you start treating with anticoagulation, d.dimer begins to trend down giving you an objective measure that your anticoagulant is working.

[@mariosgavriil5286]

@theneurophile Thanks for the quick response

[@DrAgaKhan]

Love and Respect❤

[@perfectstopovercollections441]

Please more videos🔥

[@Casstorento]

Diagnosed in 2021 with vasoconstriction after aborted stroke. Just had second incident stroke/brain bleed. Terrified as told nothing we can do to prevent other than channel blocker and eliminate stress.

[@theneurophile]

I am sorry to hear that. Calcium channel blockers are effective for spasm. I hope you feel better.

[@rebecakinomotomartinez5446]

Thank you!!

[@kaazooyii]

Love it…

[@JuanCarlosTabao-xj9eq]

❤❤❤❤❤

[@xxamulyaxx]

wow, just wow

[@JuanCarlosTabao-xj9eq]

❤❤❤❤❤🎉

[@PreethamBhat-v3g]

😅😅😅

[@JuanCarlosTabao-xj9eq]

❤❤❤❤❤❤❤

[@JuanCarlosTabao-xj9eq]

❤❤❤❤❤