Question

A 66-year-old man presents to the emergency department with sudden onset right-sided weakness and aphasia that began 90 minutes ago. CT head shows no haemorrhage. According to Canadian Stroke Best Practice recommendations, which treatment is most appropriate?

Accepted Answer

Administer intravenous thrombolysis with alteplase if no contraindications

Answer

Delay treatment for 24 hours to reassess deficit

Answer

Start aspirin only and admit to stroke unit

Answer

Send for outpatient neurology review within one week

Answer

Administer alteplase only if symptoms persist beyond 24 hours

Practice question

A 66-year-old man presents to the emergency department with sudden onset right-sided weakness and aphasia that began 90 minutes ago. CT head shows no haemorrhage. According to Canadian Stroke Best Practice recommendations, which treatment is most appropriate?