Question

A 30-year-old man presents with acute onset of the ‘worst headache of his life’ and neck stiffness. CT head performed 2 hours after onset shows no haemorrhage. What is the most appropriate next step?

Accepted Answer

Perform lumbar puncture at least 12 hours after onset

Answer

Reassure and discharge

Answer

Start Aspirin and discharge

Answer

Repeat CT in 1 year

Answer

Start anticoagulation

Practice question

A 30-year-old man presents with acute onset of the ‘worst headache of his life’ and neck stiffness. CT head performed 2 hours after onset shows no haemorrhage. What is the most appropriate next step?