Question

A 50-year-old man presents with sudden onset of the worst headache of his life. He has photophobia but no focal neurology. CT brain within 2 hours of onset is normal. What is the MOST appropriate next step?

Accepted Answer

Perform lumbar puncture to assess for xanthochromia

Answer

Reassure and discharge

Answer

Arrange CT angiography only

Answer

Start migraine therapy and no further workup

Answer

Schedule outpatient MRI

Practice question

A 50-year-old man presents with sudden onset of the worst headache of his life. He has photophobia but no focal neurology. CT brain within 2 hours of onset is normal. What is the MOST appropriate next step?