{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T01:04:31Z","timestamp":1781658271430,"version":"3.54.5"},"reference-count":22,"publisher":"SAGE Publications","issue":"11-12","license":[{"start":{"date-parts":[[2021,5,13]],"date-time":"2021-05-13T00:00:00Z","timestamp":1620864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cephalalgia"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adult abrupt severe non-traumatic headache (thunderclap) is often related to serious underlying etiologies such as subarachnoid hemorrhage. However, data are sparse regarding thunderclap headache in the pediatric population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the study was to evaluate the prevalence, characteristics and causes of thunderclap headache in the pediatric and adolescent population, aged 6\u201318 years, presenting to a pediatric emergency department.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The electronic database of a tertiary care pediatric emergency department was searched for children presenting with acute headache during 2016\u20132018. Headache severity was defined by pain scales, either a visual analogue scale or by the Faces Pain Scale\u2013Revised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thunderclap headache was diagnosed in 19\/2290 (0.8%) of the included patients, all of them with a pain score of 10\/10. All the patients had a benign course. Primary headache was diagnosed in 15\/19 (78.9%), six patients had migraine and eight were diagnosed with primary thunderclap headache. Four of the 19 patients were diagnosed with secondary headache: three with infectious causes and one with malignant hypertension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Thunderclap headache is rare among children and adolescents presenting to the emergency department. This headache is generally of a primary origin. Extensive evaluation is still needed to rule out severe diagnosis problems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03331024211014612","type":"journal-article","created":{"date-parts":[[2021,5,13]],"date-time":"2021-05-13T06:46:16Z","timestamp":1620888376000},"page":"1172-1180","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Severe abrupt (thunderclap) non-traumatic headache at the pediatric emergency department \u2013 a retrospective study"],"prefix":"10.1177","volume":"41","author":[{"given":"Yoel","family":"Levinsky","sequence":"first","affiliation":[{"name":"Pediatrics B Department, Schneider Children's Medical Center of Israel, Petach Tikva, Israel"},{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"},{"name":"Department of Emergency Medicine, Schneider Children's Medical Center of Israel, Petach Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehezkel","family":"Waisman","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"},{"name":"Department of Emergency Medicine, Schneider Children's Medical Center of Israel, Petach Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3969-8664","authenticated-orcid":false,"given":"Tal","family":"Eidlitz-Markus","sequence":"additional","affiliation":[{"name":"Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel"},{"name":"Pediatric Headache Clinic, Day Hospitalization Department, Schneider Children\u2019s Medical Center of Israel, Petach Tikva, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,13]]},"reference":[{"key":"bibr1-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/4267825"},{"key":"bibr2-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1111\/acem.13062"},{"key":"bibr3-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1177\/0333102417738202"},{"key":"bibr4-03331024211014612","first-page":"682","volume":"87","author":"Hainer BL","year":"2013","journal-title":"Am Fam Physician"},{"key":"bibr5-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-2982.2002.00368.x"},{"key":"bibr6-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1177\/0333102418781814"},{"key":"bibr7-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001377"},{"key":"bibr8-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00314-1"},{"key":"bibr9-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000001236"},{"key":"bibr10-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-1609"},{"key":"bibr11-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1186\/1129-2377-15-49"},{"key":"bibr12-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1904"},{"key":"bibr13-03331024211014612","unstructured":"BMPD. 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Los Angeles: University of California Press 1993."},{"key":"bibr14-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2018.1537782"},{"key":"bibr15-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-020-09728-0"},{"issue":"886","key":"bibr16-03331024211014612","first-page":"10","author":"Raucci U","year":"2019","journal-title":"Front Neurol"},{"key":"bibr17-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1177\/0883073818767039"},{"key":"bibr18-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2008.07.003"},{"key":"bibr19-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1016\/S0387-7604(12)80245-2"},{"key":"bibr20-03331024211014612","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2019.0140"},{"key":"bibr21-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2017.01.039"},{"key":"bibr22-03331024211014612","doi-asserted-by":"publisher","DOI":"10.1177\/0333102416660533"}],"container-title":["Cephalalgia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03331024211014612","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03331024211014612","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03331024211014612","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:49:05Z","timestamp":1777387745000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03331024211014612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,13]]},"references-count":22,"journal-issue":{"issue":"11-12","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1177\/03331024211014612"],"URL":"https:\/\/doi.org\/10.1177\/03331024211014612","relation":{},"ISSN":["0333-1024","1468-2982"],"issn-type":[{"value":"0333-1024","type":"print"},{"value":"1468-2982","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,13]]}}}