Question

A 68 year old man develops sudden onset right sided weakness and expressive aphasia while at home. He arrives in the emergency department 90 minutes after symptom onset. CT head shows no haemorrhage. According to NICE guidance, what is the most appropriate next step?

Accepted Answer

Offer intravenous thrombolysis with Alteplase after specialist assessment

Answer

Give aspirin 75 mg orally immediately

Answer

Arrange carotid Doppler ultrasound and discharge

Answer

Start high dose statin and refer to stroke clinic within 2 weeks

Answer

Delay thrombolysis until MRI confirms infarct

Practice question

A 68 year old man develops sudden onset right sided weakness and expressive aphasia while at home. He arrives in the emergency department 90 minutes after symptom onset. CT head shows no haemorrhage. According to NICE guidance, what is the most appropriate next step?