Q) A 35 year old lady has severe vomiting accompanied with headache and becomes unconscious. She has no similar history in the past and is not on any medicines.
She has a GCS of 11/15, BP 140/90, Pulse of 86/min. No cardiac or respiratory cause is noted for the symptoms.She has mild nuchal rigidity and b/l extensor plantar response.
CT scan of the brain is equivocal .Lumbar puncture studies show high RBcs in the aspirate? What is the next step in management?
a) MRI brain
b) Cerebral Angiogram
c) MR angiogram
d) IV broad spectrum antibiotic and anti virals