Question

A 64-year-old man presents with acute onset left-sided weakness and dysarthria 90 minutes after symptom onset. CT brain shows no haemorrhage. He has BP 170/95 mmHg and glucose 6.5 mmol/L. There are no contraindications to thrombolysis. According to stroke guidelines, what is the most appropriate next step?

Accepted Answer

Administer intravenous alteplase within the 4.5-hour time window

Answer

Lower BP to <140/90 mmHg before thrombolysis

Answer

Withhold thrombolysis because CT is normal

Answer

Wait for MRI brain before making a decision

Answer

Start aspirin 300 mg and delay thrombolysis until 24 hours

Practice question