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Dartmouth College

Medicine Grand Rounds - Youve Been Thunderstruck!

Dartmouth College via Independent


Dartmouth Health Continuing Education for Professionals Home, Medicine Grand Rounds - You™ve Been Thunderstruck!, 7/24/2020 8:00:00 AM - 7/24/2023 9:00:00 AM, Dr. Green describes a typical presentation and symptoms of a Thunderclap Headache, including sudden onset with diminished severity after 15-20 minutes but increasing in intensity with resumption of activity. This type of headache is considered a medical emergency as the differential diagnosis includes conditions associated with high mortality. Obtaining a thorough history and physical, lumbar puncture, CT scan and vascular imaging studies can identify most causes of acute headaches, which can be followed by appropriate treatment. Medications are safe and effective for Thunderclap Headaches and can often be discontinued with careful monitoring.

A. Laine Green, MSc, MD, FRCP(C), FAHS 
Assistant Professor of Neurology
Geisel School of Medicine at Dartmouth
Dartmouth-Hitchcock Medical Center

About our presenter: 
Dr. Laine Green completed an undergraduate and graduate degree in synthetic organic chemistry prior to completing medical school and a Neurology residency at Dalhousie University in Halifax. After his fellowship in headache medicine at the Mayo Clinic in Arizona, Dr. Green was an Assistant Professor with the Division of Neurology at Dalhousie University.  He joined the D-H Department of Neurology and the Headache Center in November 2019.

Learning Outcome(s)

Participants will be able to define and list the common causes of Thunderclap Headache, and select the proper diagnostic tests to investigate Thunderclap Headache.

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual™s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. All potential conflict(s) were resolved.

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and is on the Scientific Advisory Board for Allurion.

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Bibliographic References
See presentation for bibliographic sources to allow for further study.


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