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By Mayo Clinic Staff. Thunderclap headaches live up to their name, grabbing your attention like a clap of thunder. The pain of these sudden, severe headaches peaks within 60 seconds and can start fading after an hour. Some thunderclap headaches, however, can last for more than a week. Thunderclap headaches are often a warning sign of potentially life-threatening conditions, usually linked to bleeding in and around the brain. That's why it's so important to seek emergency medical attention if you experience a thunderclap headache.
Cerebral venous sinus thrombosis, thrombosis of the veins of the brain, usually causes a headache that reflects raised intracranial pressure and is therefore made worse by anything that makes the pressure rise further, such as coughing. In 2â10% of cases, the headache is of thunderclap character. In most cases there are other neurological abnormalities, such as seizures and weakness of part of the body, but in 15â30% the headache is the only abnormality.