April 2007

Submitted by Thomas Nguyen, MD and Marcel Maya, MD

History: 34 year-old woman with 4 day history of progressive bilateral frontal headaches, cerebrating slowly, general malaise, and "not being her usual self."

What is the Next Step?
A. Non-contrast CT brain
B. Contrast enhanced CT brain
C. MRI brain
D. Lumbar puncture
E. It's a regular headache. Take some aspirin.