Author: Syed M A Gilani / Editor: Steve Corry-Bass / Reviewer: Syed M A Gilani / Codes: NeuP2, SLO1, SLO7Published: 15/01/2024

A previously fit and healthy, 35-year-old gentleman presents to the emergency department (ED) with a right sided headache, neck pain with radiation to the back of the neck, photophobia and subjective numbness in the upper arm. He has a history of similar headaches, but no formal diagnosis.

Apart from Blood pressure of 160/95, his initial general physical and systemic examination including neurological examination is normal.

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