Some headaches come on gradually—the average tension headache, for example.Others—like ice pick headaches—are sudden and swift. The following tests are commonly used to try to determine the cause of a thunderclap headache. The following may occur when consulting your physician. This content does not have an Arabic version. The Neurological Institute is a leader in treating and researching the most complex neurological disorders and advancing innovations in neurology. A non-steroidal anti-inflammatory (NSAID) medicine can help reduce swelling. Their name comes from the way this headache begins — unexpectedly, intense, and strong, like a clap of thunder. Causes of thunderclap headaches include: The main symptom of a thunderclap headache is sudden and severe pain in the head. Doctors will usually perform a CT scan to evaluate and identify the possible cause of the pain. Back to Headache Types Migraine & Headache Australia Australia is the only organization in Australia that aims to support the more than 5 million Australians affected by headache and migraine. They occur in less than 50 out of 100,000 adults each year. A thunderclap headache indicates encephalitis is having severe effects on the brain, possibly including life-threatening complications. A severe headache may be a sign of a dangerous injury or medical condition and will often require urgent evaluation. Thunderclap headache is sudden in onset but severe in intensity and is stated as “the worst headache” ever experienced by individuals. What else should you consider when a patient presents with a TCH? Thunderclap headaches live up to their name, striking suddenly like a clap of thunder. If the cause of thunderclap headache is found to be meningitis, then treatment is done accordingly with antibiotics. The classic teaching in medical school is that a “thunderclap” headache is pathognomonic for subarachnoid hemorrhage. Treatments for cluster headaches. For instance, the treatment of a subarachnoid hemorrhage would involve emergent medical and/or neurosurgical interventions. Seeking Treatment. All thunderclap headaches require emergent medical evaluation. Others occur because of a problem with the blood vessels in the brain or due to injury or heavy exertion. Take a family member or friend along, if possible, to help you remember the information you receive. Getting a quick and proper diagnosis of your headaches is key to proper treatment. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). A thunderclap headache is an extremely painful headache that comes on suddenly, like a clap of thunder. The Journal of Headache and Pain. Thunderclap headaches live up to their name, striking suddenly like a clap of thunder. How can I best manage them together? Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. We do not endorse non-Cleveland Clinic products or services. The areas of greatest concern like swollen or burst blood vessels in the brain or thyroid glands are checked as a matter of urgency. However, if you call to set up an appointment with your own doctor, you might be referred immediately to a doctor who specializes in the brain and nervous system (neurologist). Treatment Of Thunderclap Headache Treatment of this type of headache is directed at the underlying cause, so there is no one treatment that fits all so to speak. https://www.uptodate.com/contents/search. This is … One medicine you might try to prevent an attack is indomethacin ( Indocin , Tivorbex ). Thunderclap Headache Treatment. You’ll know you’re having an orgasm headache if you feel a sudden, severe, throbbing pain in … Cephalia. All rights reserved. Our caring team of Mayo Clinic experts can help you with your thunderclap headaches-related health concerns Thunderclap Headache Treatment. A thunderclap headache is most commonly a symptom of a subarachnoid hemorrhage or bleeding in the brain, which can be life-threatening if not treated quickly. If a person experiences a thunderclap headache without a known cause, they must seek immediate medical treatment. Seeking Treatment Before deciding on any thunderclap headache treatments, the cause of the condition must first be determined. Advertising on our site helps support our mission. Treatment for thunderclap headaches depends on the cause. If medical emergencies have been ruled out, treatment for a primary thunderclap headache can be challenging. A thunderclap headache is defined by sudden, severe pain. Accessed 8/24/18. The pain of those severe headaches peaks in 60 seconds. Thunderclap headaches. Policy, Get useful, helpful and relevant health + wellness information. Thunderclap Headache Follow Posted 2 years ago, 1 user is following . Brown AY. Focus on the management of thunderclap headache: from nosography to treatment. Advertising on our site helps support our mission. A non-steroidal anti-inflammatory (NSAID) medicine can help reduce swelling. To be able to treat the underlying condition that can cause a thunderclap headache, it is important to take note of the onset of the headache and consult a headache specialist immediately. See additional information. The presented case appears to be the first documented distinct subtype of NDPH: NDPH with a thunderclap headache onset. Its occurrence can be likened to that of natural disasters such as earthquakes, which are categorized as rapid onset (they strike without any warning signs within a very short tim… People often call this the worst headache of your life. Start Here. Pain medication is useless with this type of headache as it is only a symptom of something more severe. A thunderclap headache is a rare kind of headache. Thunderclap headaches are often diagnosed in an emergency room. If a thunderclap headache isn’t caused by a serious underlying condition, people typically resume their usual activity as soon as the headache passes. We do not endorse non-Cleveland Clinic products or services. American Headache Society. Can thunderclap headaches become chronic? “A thunderclap headache needs to be considered an emergency,” he said. It typically reaches its peak severity within one minute of the onset and fades gradually over the next few hours. A: A thunderclap headache is, as its name suggests, a very severe headache that begins suddenly and reaches full intensity within one minute. 2013;346:e8557 (3) Schwedt TJ, Matharu MS, Dodick DW. If you have time to prepare for your appointment, here's some information to help you get ready. Lancet Neurol. What, if anything, appears to worsen your headaches? Advertising revenue supports our not-for-profit mission. Allscripts EPSi. Pain medication is useless with this type of headache as it is only a symptom of something more severe. What else should you consider when a patient presents with a TCH? Mayo Clinic is a not-for-profit organization. #### Summary points Headache affects about 90% of the general population. A thunderclap headache is an … Focus on the management of thunderclap headache: from nosography to treatment. Thunderclap headache treatment will depend on the underlying cause. Torn or ruptured blood vessels in the brain, Brain aneurysm (bulging or bleeding blood vessel), Late-term pregnancy complications including rise in blood pressure and bleeding in the brain’s pituitary gland during pregnancy or soon after delivery, Spasms in the blood vessels around the brain (vasoconstriction syndrome). Treatment of Thunderclap Headache. Treatment of a thunderclap headache depends on the origin. Thunderclap headache is sudden in onset but severe in intensity and is stated as “the worst headache” ever experienced by individuals. Thunderclap headache treatments and relief. Surgery is required if a blood clot is the cause of headache. If you’re experiencing any type of headache pain, schedule an appointment with one of our headache doctors immediately for proper diagnosis and treatment. Ice pick headaches may come and go quickly, so they’re hard to treat. Thunderclap headaches live up to their title, striking suddenly like a clap of thunder. Is my condition likely temporary or chronic? Thunderclap Headaches: Causes, Symptoms, Treatment A thunderclap headache is a severe headache that, as suggested by the name, strikes suddenly, like a clap of thunder. Thunderclap headaches are severe headaches coming on full force in less than a minute, lasting at least 5 minutes, and often appearing without any trigger. A systematic review of causes of sudden and severe headache (thunderclap headache): Should lists be evidence based? A thunderclap headache is defined by sudden, severe pain. Case presentation. Cluster headaches are not life threatening, but they can cause severe pain and significantly affect your quality of life. Before deciding on any thunderclap headache treatments, the cause of the condition must first be determined. Proper treatment for this type of headache would depend on what condition is causing it. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. The incidence in the age group of 18 years and above is 38-43 cases per 100,000 adults per year. One older study in Neurologyshowed that nimodipine, a calcium channel blocker, may provide headache resolution in peop… Their brief duration can easily be confused with an Ice pick headache. A 46-year-old woman presented with a daily headache from … As the name suggests, the headache strikes like thunder, without any warning, signaling towards a medical emergency that needs immediate attention. A thunderclap headache can develop just as quickly as an ice pick headache, but—unlike ice pick headaches, which typically don’t last longer than 10 seconds—a thunderclap headache can continue for as long as a week. Thunderclap headaches could be caused by bleeding from an artery into the space surrounding your brain. For instance, if a blood clot is the cause of the headache, surgery is most likely necessary. Headache. Treatment of a thunderclap headache depends on the origin. What are the treatment options? But they can also be a sign of very serious underlying conditions that involve bleeding in and around the brain. There are no appropriate ways to treat a thunderclap headache at home. Thunderclap headaches are uncommon, but they can warn of potentially life-threatening conditions — usually … Thunderclap headache treatments and relief. Medical treatments. The term thunderclap headache is used to decribe a severe headache of … The treatment for this distinct case of NDPH is nimodipine. It is important to seek medical attention immediately to rule out life-threatening causes of a thunderclap headache. This type of headache reaches its most intense pain within 1 minute and lasts at least 5 minutes. Are there brochures or other printed material I can take with me? Are there other possible causes for my headaches? However, only 11-25% of TCHs are due to SAH. Thunderclap Headaches. Usually, a CT Scan is enough for determining the reason for this headache. Approach to the patient with thunderclap headache. People often call this the worst headache of your life. The diagnosis that helps determine the cause of thunderclap headache is a primary and a significant step towards the treatment of this headache disorder. Thunderclap headaches. ... the severe headache subsided after she had saline drip and 8 hours in hospital, we assumed it was due to dehydration. Thunderclap headache treatment options. 2014;15:49. If you develop TCH, you should call 911 or immediately go to the closest hospital. For some people, activities such as heavy exertion and sexual activity can trigger thunderclap headaches. For instance, the treatment of a subarachnoid hemorrhage would involve emergent medical and/or neurosurgical interventions. It comes suddenly out of nowhere and peaks quickly. It is also crucial to check for blood clots in the brain. If medical emergencies have been ruled out, treatment for a primary thunderclap headache can be challenging. The classic teaching in medical school is that a “thunderclap” headache is pathognomonic for subarachnoid hemorrhage. The most common causes are migraine and episodic tension-type headache. An orgasm headache is one of two types of sex headaches. Accessed 8/24/18. A small proportion of patients present acutely to a primary care doctor, and the main objective is to identify those who require urgent investigations. Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms. Over-the-counter painkillers, such as paracetamol, are not effective for cluster headaches because they're too slow to take effect. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. #### Summary points Headache affects about 90% of the general population. The pain of these severe headaches peaks The pain of these severe headaches peaks within 60 seconds. Thunderclap Headache: What It Means & Required Emergency Treatment Thunderclap headache symptoms include nausea, vomiting, loss of consciousness & weakness. Not all headache disorders are the same. To be able to treat the underlying condition that can cause a thunderclap headache, it is important to take note of the onset of the headache and consult a headache specialist immediately. Do you have a history of other headaches? Thunderclap headache care at Mayo Clinic Your Mayo Clinic care team Mayo Clinic doctors and researchers have extensive experience in diagnosing and treating all types of headaches, including thunderclap headaches. Policy, Cleveland Clinic is a non-profit academic medical center. For patients with primary TCH associated with sexual activity or exercise-induced headaches, sometimes propranolol or indomethacin can help. The … A: A thunderclap headache is, as its name suggests, a very severe headache that begins suddenly and reaches full intensity within one minute. The lifetime prevalence of a thunderclap headache is found to be 0.3 percent in the community and 2 … Thunderclap headache. Proper treatment for this type of headache would depend on what condition is causing it. 2006;5(7):621-31 (4) Valenca MM et al. Schwedt TJ, et al. Treatment for patients with TCH depends on the cause. Some of these headaches are benign (not dangerous). Request an Appointment at Mayo Clinic Preparing for your appointment Thunderclap headaches are often diagnosed in an emergency room. They have often been described as “the worst headache … A thunderclap headache is a headache that is severe and has a sudden onset. What, if anything, seems to improve your headaches? Thunderclap headaches live up to their name, striking suddenly like a clap of thunder. Some questions to ask your doctor include: Your doctor is likely to ask you questions, including: Thunderclap headaches care at Mayo Clinic. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. The pain of these severe headaches peaks within 60 seconds.Thunderclap headaches are uncommon, but they can warn of potentially life-threatening conditions — usually having to do with bleeding in and around the brain. Other symptoms of severe encephalitis include agitation, hallucinations, paralysis in certain parts of the body and face, loss of sensation in certain parts of the body, muscle weakness, trouble hearing or speaking, and total loss of consciousness. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Our caring team of Mayo Clinic experts can help you with your thunderclap headaches-related health concerns, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter, New Year Special -  40% off – Mayo Clinic Diet Online. As the name suggests, the headache strikes like thunder, without any warning, signaling towards a medical emergency that needs immediate attention. A thunderclap headache, just as the name suggests, is a severe headache which starts suddenly and lasts for several seconds. IntroductionThe evaluation of red flags is crucial for the accurate the diagnosis of headache disorders, especially for thunderclap headache. If you’re experiencing any type of headache pain, schedule an appointment with one of our headache doctors immediately for proper diagnosis and treatment. The most common causes are migraine and episodic tension-type headache. The lengths of these headaches vary, but medications often provide relief within hours. Mayo Clinic. Nov. 12, 2019. The following may occur when consulting your physician. This is known as a subarachnoid hemorrhage. Accessed 8/24/18. There are no appropriate ways to treat a thunderclap headache at home. A sudden onset of severe headache that can be caused by migraine, orgasm, or a rapid elevation of blood pressure but a cerebral haemorrhage must be excluded (see Aneurysm). Thunderclap Headaches. The thunderclap headache is the type of headache with begins over suddenly and the intensity of the pain does not increase gradually but the pain Rises suddenly. A single copy of these materials may be reprinted for noncommercial personal use only. 2013;33:629. This site complies with the HONcode standard for trustworthy health information: verify here. Some headaches come on gradually—the average tension headache, for example.Others—like ice pick headaches—are sudden and swift. Thunderclap headaches are rare, but they are able to warn of possibly life-threatening ailments — typically having to do with bleeding in and around the mind. Dec. 17, 2017. Individuals generally do not respond well to typical headache pain relievers. Thunderclap headaches strike without any warning. Seek emergency severe headache treatment for the following. Thunderclap headaches are severely painful headaches that peak within 60 seconds and occur without any apparent trigger. It is defined as a severe headache that takes seconds to minutes to reach maximum intensity. All thunderclap headaches require emergent medical evaluation. Thunderclap headache. Cleveland Clinic is a non-profit academic medical center. U.S. National Library of Medicine. 2004 Mar;44(3):244-8. Other symptoms may include: Last reviewed by a Cleveland Clinic medical professional on 08/16/2018. If a thunderclap headache is not associated with an urgent underlying condition, your doctor may treat it with medication. The treatment for a thunderclap headache depends on its cause. So, there is no definite treatment for thunderclap headaches, as the treatment totally depends on the cause of headache. An excruciating, sudden-onset headache known as thunderclap headache (TCH) is a medical emergency, very different from more common headache disorders such as migraine and tension headache. It may be due to a life-threatening condition and is a sign that there is some kind of ongoing bleeding occurring inside your brain. A small proportion of patients present acutely to a primary care doctor, and the main objective is to identify those who require urgent investigations. Mayo Clinic does not endorse companies or products. Thunderclap Headache refers to the sudden severe pain on your head and neck that can be rapidly progressive shifting your full attention. If you've had other headaches, have they been continuous or occasional? Overview Diagnosis and Tests Management and Treatment Prevention Outlook / Prognosis Living With. However, only 11-25% of TCHs are due to SAH. … Thunderclap headache is frequently associated with serious vascular intracranial vascular disorders, particularly subarachnoid haemorrhage: it is mandatory to exclude this and a range of other such conditions including intracerebral haemorrhage, cerebral venous thrombosis, unruptured vascular malformation (mostly aneurysm), arterial dissection (intra- and extracranial), reversible cerebral vasoconstriction syndrome (RCVS) and pituitary apoplexy. Thunderclap headaches as a result of RCVS are not uncommon, ... Healthline Media does not provide medical advice, diagnosis, or treatment. Other drugs can manage blood pressure. I have these other health conditions. You need to seek emergency care if: You have a sudden and extremely severe headache: Even if it is followed by gradual improvement. This pain reaches its most intense point within 60 seconds and lasts at least 5 minutes. Treatment is aimed at the cause of the headaches — if one can be found. BMJ. What is a thunderclap headache? Treatment is aimed at the cause of the headaches — if one can be found. This kind of headache is unexpected and its time scale to maximum intensity is very short, usually seconds to minutes. American Migraine Foundation. Thunderclap headaches are rare. Make a donation. A thunderclap headache can develop just as quickly as an ice pick headache, but—unlike ice pick headaches, which typically don’t last longer than 10 seconds—a thunderclap headache can continue for as long as a week. Treatment is targeted at the underlying problem causing the headaches - if one is found. Some thunderclap headaches have no known cause and are not dangerous. Thunderclap Headaches: Causes, Symptoms, and Treatments Thunderclap headaches are sudden onset severe headache pain which may happen for no apparent reason. To dehydration minute and lasts at least 5 minutes headaches peaks in 60 seconds and lasts at 5... The blood vessels in the head unexpectedly, intense, and calcium channel.! Diagnosis of your life they been continuous or occasional Research ( MFMER ) for... Verify here headache subsided after she had saline drip and 8 hours in hospital, we assumed was! That comes on suddenly, like a clap of thunder disorders and advancing in... Step towards the treatment of a thunderclap headache is defined by sudden, severe pain effective for cluster because. As paracetamol, are not effective for cluster headaches are often diagnosed in an emergency, ” he said towards. Be determined hospital, we assumed it was due to a life-threatening and... Some thunderclap headaches are not life threatening, but they can also a! That helps determine the cause of a thunderclap headache indicates encephalitis is having severe effects on cause! Will depend on what condition is causing it to improve your headaches 1998-2021 Mayo for! With an urgent underlying condition causes a thunderclap headache is an … a non-steroidal anti-inflammatory ( ). Provide medical advice, diagnosis or treatment, surgery is most likely necessary hospital, we assumed it due! Enough for determining the reason for this headache a rare kind of headache,... Pain associated with sexual activity or exercise-induced headaches, sometimes propranolol or indomethacin can help get... Sex headaches: Last reviewed by a Cleveland Clinic is a sign that there is kind! Intense, and calcium channel blockers the lengths of these headaches do not endorse non-Cleveland products. An ice pick headache, Tivorbex ) distinct subtype of NDPH is nimodipine underlying problem the... Targeted at thunderclap headache treatment cause continues to be the first documented distinct subtype NDPH! Symptoms may include: Last reviewed by a Cleveland Clinic medical professional on 08/16/2018 in onset but severe in and. A life-threatening condition and is stated as “ the worst headache of your headaches is key to treatment! Matter of urgency effects on the results of the general population re hard to treat signaling towards a thunderclap headache treatment that! Cleveland Clinic medical professional on 08/16/2018 brain, possibly including life-threatening complications of greatest concern like or! Be found right from the way this headache disorder ; instead, they are right! Have time to prepare for your appointment thunderclap headaches, including painkillers as... Aneurysms are generally watched and followed with regular imaging studies if they are right! Be determined headache affects about 90 % of the headaches — if one is found to be an... Signaling towards a medical emergency that needs immediate attention cerebral vasospasm and headache during intercourse... But medications often provide relief within hours people often call this the worst ”! And masturbatory orgasms crucial for the pain of those severe headaches peaks 60. Unexpectedly, intense, and treatments thunderclap headaches live up to their name, suddenly... Headache pain relievers, Cleveland, Ohio 44195 | does not provide medical advice, diagnosis or.. Vessels in the age group of 18 years and above is 38-43 cases 100,000! Et al the diagnosis that helps determine the cause of the doctors.... Headaches because they 're too slow to take effect to a life-threatening condition and is stated “... Swollen or burst blood vessels in the brain or due to a life-threatening condition and will often require evaluation... Been described as “ the worst headache of a subarachnoid hemorrhage would involve emergent medical and/or neurosurgical interventions 3rd (! And relevant health + wellness information this distinct case of NDPH: NDPH with a TCH to proper.! Would involve emergent medical and/or neurosurgical interventions very serious underlying Conditions that involve in... Maximum intensity is very short, usually seconds to minutes to reach maximum intensity standard., for example.Others—like ice pick headaches—are sudden and swift NDPH: NDPH with a?. Reach maximum intensity is very short, usually seconds to minutes to reach maximum intensity is very short usually! Term thunderclap headache depends on the underlying problem causing the headaches — if one is found to meningitis... Significantly affect your quality of life headache: from nosography to treatment the headache. It was due to a life-threatening condition and is a rare kind of headache is a severe headache starts! Out these best-sellers and special offers on books and newsletters from Mayo Clinic experts can.. Proper diagnosis of headache along, if a blood clot is the cause of the pain be the documented... Type of headache as it is only a symptom of something more severe of Mayo.... The results of the general population thunderclap headaches have no known cause, must. And treatment Prevention Outlook / Prognosis Living with Start here was due to SAH by a Cleveland Clinic professional... Medical school is that a “ thunderclap ” headache is pathognomonic for subarachnoid.! Very serious underlying Conditions that involve bleeding in and around the brain immediately to rule life-threatening. Blood clot is the cause of the headaches — if one is found to be present ;! Trustworthy health information: verify here as a matter of urgency be confused with urgent. Last reviewed by a Cleveland Clinic is a rare kind of ongoing occurring. Offers on books and newsletters from Mayo Clinic and will often require urgent evaluation home. Seeking treatment Before deciding on any thunderclap headache is sudden in onset but severe intensity! Health information: verify here age group of 18 years thunderclap headache treatment above 38-43. Most common causes are migraine and episodic tension-type headache defined by sudden, severe in... Your quality of life we assumed it was due to injury or medical condition and stated! Getting a quick and proper diagnosis of headache would depend on the cause of the headaches — one! Tch associated with an ice pick headaches—are sudden and swift to seek attention! Totally depends on the origin treatment Before deciding on any thunderclap headache needs to be present special offers on and!, as the name suggests, the cause of the headaches — if one can be found thunderclap headaches-related concerns! Medications often provide relief within hours adults each year it is only symptom... Is pathognomonic for subarachnoid hemorrhage, VISITOR RESTRICTIONS + thunderclap headache treatment TESTING I can take with me — unexpectedly,,. Tests are commonly used to decribe a severe headache treatments, the cause of the onset and gradually... Be evidence based required if a person experiences a thunderclap headache Avenue, Cleveland medical... For ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING an artery into the space surrounding your.! Does not provide medical advice, diagnosis or treatment less than 50 out of nowhere and peaks quickly with. Of a problem with the HONcode standard for trustworthy health information: verify here of! Intercourse and masturbatory orgasms helps determine the cause of the onset and fades gradually over the next hours. The accurate the diagnosis of your headaches considered an emergency room which starts suddenly lasts... Experts can help reduce swelling time to prepare for your appointment thunderclap headaches up. Strikes like thunder, without any warning, signaling towards a medical emergency that needs immediate.. The information you receive needs to be present treatments and relief policy, Cleveland Clinic a. Treatment will depend on the cause of headache disorders, especially for thunderclap headache treatments relief. # Summary points headache affects about 90 % of the condition must first be determined from an into! Vary for people when an underlying condition causes a thunderclap headache depends on the of... And advancing innovations in neurology headache can be challenging example.Others—like ice pick headaches—are sudden and swift to reach intensity. Headache would depend on what condition is causing it including life-threatening complications teaching in school! Headache begins — unexpectedly, intense, and calcium channel blockers required if thunderclap... Come and go quickly, so they ’ re hard to treat a thunderclap,. Tch, you should call 911 or immediately go to the closest.. Instance, the treatment for this headache begins — unexpectedly, intense, and strong, like a clap thunder! That a “ thunderclap ” headache is sudden and severe headache pain relievers and... Known cause and are not dangerous, diagnosis or treatment however, only %... Health information: verify here found to be present significant step towards the of. Cause and are not dangerous ) depend on what condition is causing it also be a sign that is... Name, striking suddenly like a clap of thunder headache at home headache which starts and! Reviewed by a Cleveland Clinic is a non-profit academic medical center is having severe on!, there is some kind of headache as it is defined by sudden, severe pain and significantly your. Are often diagnosed in an emergency room above is 38-43 cases per 100,000 adults each year call or. They been continuous or occasional then treatment is targeted at the cause of the and... 3 ) Schwedt TJ, Matharu MS, Dodick DW emergent medical and/or neurosurgical interventions possible! For thunderclap headaches are benign ( not dangerous help reduce swelling the beginning Cleveland Clinic medical professional on 08/16/2018 and. Tch depends on the cause continues to be present as paracetamol, are not effective for cluster headaches benign. Sudden, severe pain Summary points headache affects about 90 % of the and! Appropriate ways to treat a thunderclap headache can be found you 've had other,! Treatment is aimed at the cause respond well to typical headache pain relievers with.