This was accompanied by a stiff neck and one bout of vomiting on the morning of admission. Patient's past medical history is significant for essential hypertension. She is in moderate distress from the headache.
Patient complains of photophobia.
Neck is stiff, meningeal signs are present. No focal neurological deficits. Pupils equal, round and reactive. The angiogram was read as negative. The marker points to what was felt to be an abnormality at an early branch from the left M1 segment of the middle cerebral artery.