A 42-year-old man presents with sudden onset right-sided weakness and expressive dysphasia that began 2 hours ago. CT brain shows no haemorrhage. Bloo...

Question

A 42-year-old man presents with sudden onset right-sided weakness and expressive dysphasia that began 2 hours ago. CT brain shows no haemorrhage. Blood pressure is 165/95 mmHg and glucose 6.5 mmol/L. According to Australian stroke guidelines, what is the most appropriate management?

Accepted Answer

Administer IV thrombolysis with alteplase and consider endovascular therapy

Answer

Start high-dose aspirin only

Answer

Defer thrombolysis because systolic blood pressure is above 160 mmHg

Answer

Discharge home with outpatient MRI in 1 week

Answer

Commence prophylactic low-molecular-weight heparin only

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

A 42-year-old man presents with sudden onset right-sided weakness and expressive dysphasia that began 2 hours ago. CT brain shows no haemorrhage. Blood pressure is 165/95 mmHg and glucose 6.5 mmol/L. According to Australian stroke guidelines, what is the most appropriate management?