EANS Case of the Month 2018:2 – 'When All Hematomas Are Not The Same'

Aristotelis Filippidis, MD PhD and Ekkehard Kasper, MD PhD
Department of Surgery, Division of Neurosurgery; Beth Israel Deaconess Medical Center, Harvard Medical School; Boston, MA USA

A 68 years old, right-handed female presented to urgent care in hypertensive crisis and with a severe headache. Her past medical history (PMH) revealed smoking, hypertension (on lisinopril) with previous episodes of hypertensive crisis, an old left inferior frontal infarct with residual right arm 4/5 weakness, a patent foramen ovale, hyperlipidemia, depression and insomnia.  She reported no recent trauma and she was taking aspirin 81mg daily.

Question Title

* 1. What is the appropriate next step?