Question

A 70-year-old man in the emergency department develops sudden-onset right hemiparesis and aphasia. Last known well was 90 minutes ago. CT head shows no haemorrhage. According to Canadian Stroke Best Practice Recommendations, what is the most appropriate next step?

Accepted Answer

Administer intravenous thrombolysis with alteplase after standard contraindication screening

Answer

Withhold thrombolysis and start aspirin 160 mg immediately

Answer

Delay any treatment until MRI is obtained

Answer

Admit to a general medical ward for observation without reperfusion therapy

Answer

Offer intra-arterial thrombectomy only, without considering thrombolysis

Practice question

A 70-year-old man in the emergency department develops sudden-onset right hemiparesis and aphasia. Last known well was 90 minutes ago. CT head shows no haemorrhage. According to Canadian Stroke Best Practice Recommendations, what is the most appropriate next step?