A 63-year-old man presents 90 minutes after sudden onset right-sided weakness and aphasia. CT head shows no haemorrhage. There are no contraindication...

Question

A 63-year-old man presents 90 minutes after sudden onset right-sided weakness and aphasia. CT head shows no haemorrhage. There are no contraindications to thrombolysis. According to Canadian Stroke Best Practice Recommendations, which is the most appropriate acute therapy?

Accepted Answer

Administer IV alteplase within the 4.5-hour window

Answer

Start aspirin 325 mg orally only

Answer

Delay treatment pending MRI

Answer

Start dual antiplatelet therapy without thrombolysis

Answer

Defer all treatment until deficits stabilise

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

A 63-year-old man presents 90 minutes after sudden onset right-sided weakness and aphasia. CT head shows no haemorrhage. There are no contraindications to thrombolysis. According to Canadian Stroke Best Practice Recommendations, which is the most appropriate acute therapy?