A 69-year-old man presents with sudden onset left-sided weakness and slurred speech 90 minutes ago. CT brain shows no haemorrhage. NIHSS is 10. What i...

Question

A 69-year-old man presents with sudden onset left-sided weakness and slurred speech 90 minutes ago. CT brain shows no haemorrhage. NIHSS is 10. What is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with alteplase if no contraindications and arrange urgent stroke unit admission

Answer

Commence aspirin 300 mg only

Answer

Start immediate therapeutic low molecular weight heparin

Answer

Delay treatment for repeat imaging in 24 hours

Answer

Discharge with outpatient neurology review

au-amc MCQ (SBA): Acute ischaemic stroke thrombolysis decision

A 69-year-old man presents with sudden onset left-sided weakness and slurred speech 90 minutes ago. CT brain shows no haemorrhage. NIHSS is 10. What is the most appropriate next step?