Question

A 50-year-old man presents with sudden onset left-sided weakness and slurred speech that started 45 minutes ago. He has atrial fibrillation and hypertension. On examination he has a dense left hemiparesis and facial droop. What is the most appropriate initial investigation?

Accepted Answer

Non-contrast CT scan of the head immediately

Answer

MRI brain with contrast

Answer

Carotid Doppler ultrasound

Answer

Echocardiogram

Answer

Lumbar puncture

Practice question

A 50-year-old man presents with sudden onset left-sided weakness and slurred speech that started 45 minutes ago. He has atrial fibrillation and hypertension. On examination he has a dense left hemiparesis and facial droop. What is the most appropriate initial investigation?