A 69-year-old man presents with sudden-onset severe headache and vomiting. CT head shows a large lobar intracerebral haemorrhage. Blood pressure is 19...

Question

A 69-year-old man presents with sudden-onset severe headache and vomiting. CT head shows a large lobar intracerebral haemorrhage. Blood pressure is 190/105 mm Hg. What is the most appropriate immediate management regarding thrombolysis?

Accepted Answer

Thrombolysis is contraindicated; focus on blood pressure control and neurosurgical assessment

Answer

Administer intravenous alteplase within 4.5 hours

Answer

Administer tenecteplase because it is safer in haemorrhage

Answer

Administer intra-arterial thrombolysis only

Answer

Administer dual antiplatelet therapy for secondary prevention

ca-mccqe1 MCQ (SBA): Intracerebral haemorrhage management

A 69-year-old man presents with sudden-onset severe headache and vomiting. CT head shows a large lobar intracerebral haemorrhage. Blood pressure is 190/105 mm Hg. What is the most appropriate immediate management regarding thrombolysis?