Question

A 69-year-old man presents 60 minutes after onset of right-sided weakness and expressive aphasia. CT head shows no haemorrhage. His NIH Stroke Scale score is 12. According to the Canadian Stroke Best Practice Recommendations, what is the most appropriate acute therapy?

Accepted Answer

Intravenous alteplase within the treatment window, with rapid assessment for possible endovascular thrombectomy

Answer

Dual antiplatelet therapy only

Answer

Intravenous alteplase and no further imaging

Answer

No reperfusion therapy; start statin only

Answer

Delay treatment until MRI is obtained

Practice question

A 69-year-old man presents 60 minutes after onset of right-sided weakness and expressive aphasia. CT head shows no haemorrhage. His NIH Stroke Scale score is 12. According to the Canadian Stroke Best Practice Recommendations, what is the most appropriate acute therapy?