A 64-year-old man with hypertension, hyperlipidaemia and type 2 diabetes presents with sudden onset right-sided weakness and aphasia 2 hours after sym...

Question

A 64-year-old man with hypertension, hyperlipidaemia and type 2 diabetes presents with sudden onset right-sided weakness and aphasia 2 hours after symptom onset. CT brain shows no haemorrhage. What is the most appropriate acute management?

Accepted Answer

Intravenous thrombolysis with alteplase after excluding contraindications

Answer

Aspirin alone and admission to stroke unit

Answer

Oral anticoagulation with a DOAC immediately

Answer

Thrombectomy alone without thrombolysis within 24 hours

Answer

Discharge home with outpatient review

au-acem MCQ (SBA): Acute ischaemic stroke thrombolysis

A 64-year-old man with hypertension, hyperlipidaemia and type 2 diabetes presents with sudden onset right-sided weakness and aphasia 2 hours after symptom onset. CT brain shows no haemorrhage. What is the most appropriate acute management?