Patient Presentation and Initial Assessment

A 39-year-old male presents with a severe headache that began after lifting heavy weights, accompanied by nausea and a new cough. He has elevated levels of C-reactive protein, indicative of inflammation, yet his initial brain CT scan showed no abnormalities. Notable symptoms include tongue deviation and numbness in his limbs, which complicate the diagnosis since primary headaches typically do not involve such symptoms. The pattern of symptoms suggests potential secondary headaches, prompting further neurological evaluation to identify an underlying cause.