Index to Chiropractic Literature
Index to Chiropractic Literature
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Sunday, April 28, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 19466
  Title Headache caused by an intracranial aneurysm in a 32-year-old woman [case report]
URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Citation&list_uids=17320736
Journal J Manipulative Physiol Ther. 2007 Feb;30(2):140-143
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes OBJECTIVES: We describe the case of a woman with a headache later found to be a result of an intracranial aneurysm. Through this article, we aim to raise awareness regarding the red flags that should lead doctors of chiropractic to suspect the presence of this condition to facilitate appropriate patient management that increases the likelihood of patients' recovery.

CLINICAL PRESENTATION: A 32-year-old woman sought care for a constant headache of 4 days' duration. She described the headache as severe throughout her entire head, centralized at the base of the occiput, and unlike any headache she had experienced. She had concomitant neck pain. Her left eye deviated toward the midline and had excessive tearing 12 hours after the onset of the headache.

INTERVENTION AND OUTCOME: No chiropractic adjustment was administered; immediate transfer for emergency treatment was arranged instead. The diagnosis of a bleeding intracranial aneurysm was confirmed by magnetic resonance imaging. The patient was transferred to a local university hospital for surgical intervention. Unfortunately, she died of vasospastic complications.

CONCLUSIONS: The red flags to be considered in evaluating patients with such headache as that described for our case patient include a history of hypertension, cigarette smoking, oral contraceptive use, alcohol consumption, pregnancy, and cocaine use. Practitioners need to be aware of the signs and symptoms that indicate whether a headache may be a result of serious problems such as an aneurysm.

First author: Susan M. Larkin-Thier, DC

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher. DOI Link
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