Question

A 68-year-old woman is admitted to the emergency department with sudden onset severe headache, vomiting, and neck stiffness. Her GCS is 14/15. A non-contrast CT head is performed and reported as normal. What is the most appropriate next step to investigate for subarachnoid haemorrhage (SAH)?

Accepted Answer

Lumbar puncture after 12 hours

Answer

Repeat CT head with contrast

Answer

CT angiography of cerebral vessels

Answer

MRI brain

Answer

Discharge home with analgesia

Practice question

A 68-year-old woman is admitted to the emergency department with sudden onset severe headache, vomiting, and neck stiffness. Her GCS is 14/15. A non-contrast CT head is performed and reported as normal. What is the most appropriate next step to investigate for subarachnoid haemorrhage (SAH)?