PT - JOURNAL ARTICLE AU - Byrum, E.P. AU - McGregor, J.M. AU - Christoforidis, G.A. TI - Thunderclap Headache without Subarachnoid Hemorrhage Associated with Regrowth of Previously Coil-Occluded Aneurysms AID - 10.3174/ajnr.A1382 DP - 2009 May 01 TA - American Journal of Neuroradiology PG - 1059--1061 VI - 30 IP - 5 4099 - http://www.ajnr.org/content/30/5/1059.short 4100 - http://www.ajnr.org/content/30/5/1059.full SO - Am. J. Neuroradiol.2009 May 01; 30 AB - SUMMARY: Thunderclap headache is a sudden, high-intensity headache often associated with subarachnoid hemorrhage secondary to a ruptured intracerebral aneurysm. A variety of less common causes have now been described. This report presents the cases of 2 patients who experienced thunderclap headache after regrowth of an aneurysm, without hemorrhage of previously coiled aneurysms. Thunderclap headache after endovascular occlusion of a ruptured intracranial aneurysm may be a symptom of aneurysm regrowth and may warrant angiographic investigation.