Question

A 70-year-old man presents 90 minutes after onset of left-sided weakness and aphasia. CT brain excludes haemorrhage. There are no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Intravenous thrombolysis with alteplase or tenecteplase plus stroke unit admission

Answer

Aspirin alone

Answer

Delay treatment until MRI confirms infarct

Answer

Immediate anticoagulation with heparin infusion

Answer

No treatment because deficits may resolve

Practice question

A 70-year-old man presents 90 minutes after onset of left-sided weakness and aphasia. CT brain excludes haemorrhage. There are no contraindications to thrombolysis. What is the most appropriate management?