Bedside
Rounds

Case #160Neurology

Sudden Worst Headache of My Life with Blackout

Sudden Worst Headache of My Life with Blackout
At a glance
HR 58 bpm BP 182/108 SpO2 97% Non-contrast CT Brain: Hyperdense blood in basal cisterns & Sylvian fissures

"52M with thunderclap headache, CN III palsy & basal blood."

Patient History

A 52-year-old Male Long-distance truck driver presents with sudden worst headache of my life that started while lifting a heavy crate, with vomiting three times and a brief blackout, about 30 minutes ago. About 30 minutes ago.

Clinical Examination & Labs

I was straining to lift a heavy crate from my truck when I suddenly felt like a bomb exploded inside my head.

Diagnostic Management Pathway

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