A 63-year-old man presents with sudden-onset right-sided weakness and aphasia that began 80 minutes ago. CT brain shows no haemorrhage. He has no cont...

Question

A 63-year-old man presents with sudden-onset right-sided weakness and aphasia that began 80 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis. According to Canadian stroke best practice recommendations, what is the most appropriate next step?

Accepted Answer

Administer intravenous alteplase at acute ischaemic stroke dose

Answer

Delay thrombolysis and start acetylsalicylic acid now

Answer

Arrange elective MRI before treatment

Answer

Start prophylactic low molecular weight heparin only

Answer

Refer for outpatient neurology assessment

ca-mccqe1 MCQ (SBA): Acute ischaemic stroke thrombolysis

A 63-year-old man presents with sudden-onset right-sided weakness and aphasia that began 80 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis. According to Canadian stroke best practice recommendations, what is the most appropriate next step?