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Unlike a migraine, thunderclap headaches seem to come on suddenly. The pain grabs your attention in the same way a clap of thunder does. You can feel pain anywhere on your head or neck. You may even feel it in your back. You might also have several other symptoms, including: Changes in vision. Confusion. Nausea.
Symptoms may include headache, decreased level of consciousness and hemiparesis (weakness of one side of the body). SAH is a frequent occurrence in traumatic brain injury, and carries a poor prognosis if it is associated with deterioration in the level of consciousness. While thunderclap headache is the characteristic symptom of subarachnoid hemorrhage, less than 10% of those with concerning symptoms have SAH on investigations.