Question

A 72-year-old woman is brought to hospital with sudden onset right-sided weakness and slurred speech 1 hour ago. CT head shows no haemorrhage. Blood pressure is 170/95 mmHg, glucose 6.0 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Offer intravenous thrombolysis with Alteplase

Answer

Start aspirin 300 mg orally and observe

Answer

Start long-term anticoagulation immediately

Answer

Discharge with outpatient MRI brain

Answer

Delay treatment until repeat CT scan at 24 hours

Practice question

A 72-year-old woman is brought to hospital with sudden onset right-sided weakness and slurred speech 1 hour ago. CT head shows no haemorrhage. Blood pressure is 170/95 mmHg, glucose 6.0 mmol/L. There are no contraindications to thrombolysis. What is the most appropriate management?