Question

A 72-year-old man presents with acute onset of a severe occipital headache described as the worst of his life, associated with brief loss of consciousness. Neurological examination is currently normal. What is the most appropriate initial investigation?

Accepted Answer

Non-contrast CT scan of the head as soon as possible

Answer

MRI brain with contrast

Answer

Lumbar puncture without imaging

Answer

No imaging and treat as migraine

Answer

Carotid Doppler ultrasound

Practice question

A 72-year-old man presents with acute onset of a severe occipital headache described as the worst of his life, associated with brief loss of consciousness. Neurological examination is currently normal. What is the most appropriate initial investigation?