13th August 2024

A 54-year-old man presents to A&E 1 hour after collapsing at work. He reports he was sitting at his desk

A 54-year-old man presents to A&E 1 hour after collapsing at work. He reports he was sitting at his desk when he suddenly developed an excruciating occipital headache which reached its peak within 2 minutes. He also felt very nauseous during this time. A collateral from his work colleague reports that he appeared to be in extreme pain during this time and collapsed as he tried to stand up. He regained consciousness within 20 seconds. He has a history of hypertension, type 2 diabetes and a previous myocardial infarction 6 years ago. He is a smoker and has a 30 year pack history. On examination his GCS is now 15/15, BP 162/93 mmHg, HR 92 bpm, oxygen saturations 94%.

You order a CT head to investigate further. What is the CT head likely to show?

Select the SINGLE most appropriate option from the list below. Select ONE option only.