Question 1782
{"accessible":true,"alternatives":[{"id":8848,"text":"Cerebral digital subtraction angiography (DSA)"},{"id":8849,"text":"CT angiogram"},{"id":8850,"text":"CT venogram"},{"id":8851,"text":"CT with contrast (delayed)"},{"id":8852,"text":"MRI with contrast"},{"id":8853,"text":"MRI of the cervical spine"}],"archived":false,"correctAlternativeId":8850,"explanation":"\u003cp\u003eIn this demographic and with a multiloculated hematoma, venous sinus or cerebral vein\u0026nbsp;thrombosis is most likely. The relatively gradual onset of symptoms also makes arterial hemorrhages somewhat less likely.\u0026nbsp;\u003c/p\u003e\u003cp\u003eThe benefit of CTV is also the ease of procurement in most institutions.\u0026nbsp;\u003c/p\u003e\u003cp\u003eThis case was confirmed to be due to cerebral venous thrombosis.\u0026nbsp;\u003c/p\u003e","id":1782,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/275/2_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":4408},"imageAttributionCaseInfo":{"title":"Cerebral vein thrombosis","contributor_name":"Frank Gaillard","contributor_param":"frank","case_rid":4408,"case_param":"cerebral-vein-thrombosis"},"firstQuestionPath":"/questions/2414","nextQuestionPath":"/articles/intracerebral-haemorrhage/questions/1622","relatedArticles":[{"id":6593,"title":"Cerebral venous infarction","link":"/articles/cerebral-venous-infarction?lang=us"}],"alsoUsedIn":[{"id":784,"kind":"Course","title":"Stroke Learning Pathway - page 784","link":"https://radiopaedia.org/courses/stroke-learning-pathway/pages/784"},{"id":1184,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1184","link":"https://radiopaedia.org/courses/adult-neuroradiology-review-course/pages/1184"},{"id":1184,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1184","link":"https://radiopaedia.org/courses/adult-brain-mri-review-course-2015-online-video/pages/1184"},{"id":1469,"kind":"Course","title":"2023 Virtual Conference Private Use - page 1469","link":"https://radiopaedia.org/courses/2023-virtual-conference-private-use/pages/1469"},{"id":1469,"kind":"Course","title":"CT \u0026 MRI Lectures - page 1469","link":"https://radiopaedia.org/courses/ct-mri-lectures/pages/1469"},{"id":2121,"kind":"Course","title":"Stroke Learning Pathway - peer review - page 2121","link":"https://radiopaedia.org/courses/stroke-learning-pathway-peer-review/pages/2121"}],"stem":"\u003cp\u003eA 35-year-old woman presents with a gradually worsening headache with nausea and vomiting. Upon arrival at the emergency department, she undergoes a non-contrast CT of the brain (shown below).\u0026nbsp;\u003c/p\u003e\u003cp\u003eWhat is the most appropriate next imaging investigation?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1782"}],"attemptsPercentages":[{"alternativeId":"8851","percentage":4},{"alternativeId":"8850","percentage":59},{"alternativeId":"8852","percentage":6},{"alternativeId":"8853","percentage":0},{"alternativeId":"8848","percentage":4},{"alternativeId":"8849","percentage":26}],"promptToLogin":false,"questionManager":false,"articleId":"intracerebral-hemorrhage"}