Question

A 76-year-old man presents with sudden onset right-sided weakness and expressive dysphasia that started 90 minutes ago. His blood pressure is 170/95 mmHg and CT brain shows no haemorrhage. According to current stroke guidelines, what is the most appropriate next step?

Accepted Answer

Offer intravenous thrombolysis with alteplase after confirming eligibility

Answer

Commence aspirin 300 mg and arrange routine ward admission

Answer

Delay any treatment until MRI brain is available

Answer

Lower blood pressure rapidly to 120/70 mmHg before any reperfusion therapy

Answer

Discharge home and review in clinic tomorrow

Practice question

A 76-year-old man presents with sudden onset right-sided weakness and expressive dysphasia that started 90 minutes ago. His blood pressure is 170/95 mmHg and CT brain shows no haemorrhage. According to current stroke guidelines, what is the most appropriate next step?