A 69-year-old man presents with sudden-onset right arm weakness and expressive dysphasia that started 90 minutes ago. CT brain shows no haemorrhage. H...

Question

A 69-year-old man presents with sudden-onset right arm weakness and expressive dysphasia that started 90 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis. What is the most appropriate acute reperfusion strategy?

Accepted Answer

Offer intravenous thrombolysis with alteplase or tenecteplase and refer urgently for thrombectomy assessment

Answer

Start aspirin 300 mg only and observe for 24 hours

Answer

Arrange elective MRI brain and neurology review within a week

Answer

Commence therapeutic low-molecular-weight heparin immediately

Answer

Give clopidogrel loading dose only

au-amc MCQ (SBA): Acute ischaemic stroke reperfusion

A 69-year-old man presents with sudden-onset right arm weakness and expressive dysphasia that started 90 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis. What is the most appropriate acute reperfusion strategy?