MRCP2-3500

MRCP2-3500

A 30-year-old woman presents to the neurology clinic with a worsening headache that has been ongoing for a month. The headache is mostly frontal but sometimes moves to the back of her head. It is throbbing in nature and is worst in the morning. She has also been experiencing a thudding sound in her ears. She has no change in vision or photophobia, but the headache has started to make her feel sick. She has no significant medical history and is only taking oral contraceptives. She is obese, a non-drinker, and smokes ten cigarettes per day. On examination, her blood pressure is 165/94 mmHg, and her heart rate is 90/min. Her pupils are equal and reactive, and her visual fields are full to confrontation. Fundoscopy reveals slight blurring of the optic disc margins with a normal retina. The examination of the other cranial nerves reveals no deficits, and her limbs’ tone, power, coordination, and reflexes are all normal. Her BMI is 31, and her blood tests are within normal limits. What is the most appropriate imaging investigation to perform next?