A 43 year-old female with a past medical history of migraine headaches presented to the emergency department with a severe, diffuse headache. The headache started suddenly, waking her from sleep about two hours prior to arrival, and was described as the worst headache of her life. The headache was not improved with home ibuprofen or Tylenol, prompting her visit to the emergency department. Upon further questioning, the patient noted the headache was associated with neck stiffness, diaphoresis, and subjective fever…

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