Question

A 69-year-old man presents to the emergency department 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. According to the Canadian Stroke Best Practice Recommendations, what is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with alteplase if no contraindications and within the appropriate time window

Answer

Reassure him and arrange outpatient neurology follow-up

Answer

Start aspirin only and avoid thrombolysis because of age

Answer

Delay treatment until MRI confirms the presence of an infarct

Answer

Start warfarin immediately without thrombolysis

Practice question

A 69-year-old man presents to the emergency department 90 minutes after sudden onset of right-sided weakness and aphasia. CT head shows no haemorrhage. According to the Canadian Stroke Best Practice Recommendations, what is the most appropriate next step?