Question

A 64-year-old man presents with sudden onset left-sided weakness and slurred speech 90 minutes ago. CT brain excludes haemorrhage. He has no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Offer intravenous Alteplase within the therapeutic time window

Answer

Start Aspirin 300 mg alone

Answer

Discharge with outpatient MRI brain

Answer

Start Warfarin immediately

Answer

Delay treatment until 24-hour repeat CT scan

Practice question

A 64-year-old man presents with sudden onset left-sided weakness and slurred speech 90 minutes ago. CT brain excludes haemorrhage. He has no contraindications to thrombolysis. What is the most appropriate management?