A 59-year-old man with a history of hypertension presents with a sudden, severe headache described as a 'thunderclap headache.' CT scan is negative fo...

Question

A 59-year-old man with a history of hypertension presents with a sudden, severe headache described as a 'thunderclap headache.' CT scan is negative for acute bleed. According to NICE, what is the recommended next investigation?

Accepted Answer

Lumbar puncture

Answer

Repeat CT in 24 hours

Answer

MR angiography of the brain

Answer

CT angiography of the circle of Willis

Answer

No further investigations unless symptoms persist

NICE Headaches in Over 12s Guideline MCQ (SBA): Subarachnoid Hemorrhage

A 59-year-old man with a history of hypertension presents with a sudden, severe headache described as a 'thunderclap headache.' CT scan is negative for acute bleed. According to NICE, what is the recommended next investigation?