Question

A 55-year-old woman presents with sudden severe occipital headache described as "the worst headache of my life". She collapses briefly but regains consciousness. Neurological examination is normal. Blood pressure is 160/95 mmHg. What is the most appropriate initial investigation?

Accepted Answer

CT brain without contrast

Answer

MRI brain with contrast

Answer

Lumbar puncture without imaging

Answer

CT cerebral angiography only

Answer

Carotid duplex ultrasound

Practice question

A 55-year-old woman presents with sudden severe occipital headache described as "the worst headache of my life". She collapses briefly but regains consciousness. Neurological examination is normal. Blood pressure is 160/95 mmHg. What is the most appropriate initial investigation?