A 68-year-old woman presents with sudden right-sided weakness and aphasia that began 45 minutes ago. She has atrial fibrillation and takes warfarin wi...

Question

A 68-year-old woman presents with sudden right-sided weakness and aphasia that began 45 minutes ago. She has atrial fibrillation and takes warfarin with a recent INR of 2.0. On arrival her blood pressure is 160/90 mmHg and capillary glucose is 6.5 mmol/L. What is the most appropriate immediate investigation?

Accepted Answer

Non-contrast CT scan of the brain

Answer

CT angiogram of the cerebral vessels with contrast

Answer

MRI brain with diffusion-weighted imaging

Answer

Carotid duplex ultrasound

Answer

Transoesophageal echocardiogram

au-acem MCQ (SBA): Acute ischaemic stroke