Question 262 · LEK · Cerebrovascular diseases
A 52-year-old male with arterial hypertension - correctly treated was admitted to the ER because of the severe headache radiating to the neck, which occurred during extensive physical work. On admittance: GSC (Glasgow Coma Scale) 15 points, blood pressure 140/85 mmHg, Kernig’s sign, nuchal rigidity 3 fingers. In this clinical situation from among additional tests you should order first:
- A. cervical spine X-ray.
- B. electroencephalography (EEG).
- C. CT scan with contrast.
- D. lumbar puncture and cerebrospinal fluid examination.
- E. CT scan without contrast.
Hint
A sudden thunderclap headache on exertion with meningeal signs suggests bleeding; choose the fastest test that shows fresh blood reliably.
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