When your first migraine isn’t a migraine - This is the redflag for danger

18 Aug 2025 08:36am

The timing and nature of a headache can be a vital clue to intracranial bleeding.

Neurosurgeon Dr Moventhiran Ramakrishnan said in cases of hypertensive bleeds, the headache often appears suddenly - you could be having breakfast, feeling fine and within minutes be struck with a headache and weakness.

But with an aneurysm rupture, there’s a unique warning sign - a headache that appears one to two weeks before the major event, in someone who’s never had migraines before. This is called a sentinel hemorrhage - a small leak that irritates the brain, quietly sounding the alarm.

When the full rupture happens, it triggers what patients describe as a thunderclap headache - the worst headache they’ve ever experienced.

Watch now to understand the signs your brain may be sending.

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