Question

A 72-year-old man presents with sudden onset left-sided weakness and dysarthria 90 minutes ago. CT brain shows no haemorrhage. On examination, his NIH Stroke Scale score is 12 and there are no contraindications to thrombolysis. What is the most appropriate management?

Accepted Answer

Administer intravenous thrombolysis and organise urgent transfer to a stroke unit

Answer

Arrange outpatient neurology follow-up and start aspirin

Answer

Start dual antiplatelet therapy without thrombolysis

Answer

Delay thrombolysis until MRI confirms infarct

Answer

Observe for 24 hours and repeat CT brain

Practice question

A 72-year-old man presents with sudden onset left-sided weakness and dysarthria 90 minutes ago. CT brain shows no haemorrhage. On examination, his NIH Stroke Scale score is 12 and there are no contraindications to thrombolysis. What is the most appropriate management?