Key points

This guideline is recommended for the radiological investigation of patients presenting with headache.

CT is generally not indicated in suspected meningitis unless there are clinical signs which predict for abnormal radiological findings, such as: 

  • age >60 years
  • immunocompromised
  • history of CNS disorder
  • associated new onset seizures
  • mental state changes
  • focal neurological deficits.

If CT is required, blood cultures and antibiotics should not be delayed

Please note that this guidance is currently undergoing review by Safer Care Victoria to ensure  the content is up to date. In the meantime, we recommend that you also refer to more contemporaneous evidence where possible.

We recommend using the Government of Western Australia Diagnostic Imaging Pathways for headache in adults

The image below is linked to an easy-to-follow pathway of care to guide investigations for emergency patients presenting with headache.

Download our patient fact sheets on migraine and tension headache below.

Flowchart providing guidance on the imaging of adult patients with recent onset headache

Patient fact sheets

Get in touch

Clinical Guidance Team
Safer Care Victoria
clinicalguidance@safercare.vic.gov.au

Version history

First published: June 2019
Due for review: June 2022

Full guideline

Diagnostic Imaging Pathways Headache (Adult) - Government of Western Australia

Disclaimer

Clinical guidance disclaimer
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