Question

A 50-year-old woman presents with sudden severe occipital headache described as "the worst headache of my life". She has normal neurological examination. According to Canadian recommendations, what is the most appropriate initial investigation?

Accepted Answer

Non-contrast CT head as soon as possible

Answer

MRI brain with contrast only

Answer

Lumbar puncture only

Answer

No investigations; likely tension headache

Answer

Begin triptans for presumed migraine without imaging

Practice question

A 50-year-old woman presents with sudden severe occipital headache described as "the worst headache of my life". She has normal neurological examination. According to Canadian recommendations, what is the most appropriate initial investigation?