Question

A 70-year-old man presents with sudden onset right-sided weakness and dysphasia that started 90 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis. According to Australian stroke guidance, which statement is most accurate?

Accepted Answer

Intravenous thrombolysis should be offered within 4.5 hours of symptom onset for eligible patients

Answer

Thrombolysis is contraindicated in all patients over 70 years

Answer

Thrombolysis must be given within 1 hour or not at all

Answer

Thrombolysis is unnecessary because CT shows no haemorrhage

Answer

Thrombolysis should be delayed until MRI confirms the diagnosis

Practice question

A 70-year-old man presents with sudden onset right-sided weakness and dysphasia that started 90 minutes ago. CT brain shows no haemorrhage. He has no contraindications to thrombolysis. According to Australian stroke guidance, which statement is most accurate?