A 60-year-old woman arrives as ESI 2 with sudden left-sided weakness 90 minutes after onset. BP 172/94, glucose 102 mg/dL, CT head shows no

Question

A 60-year-old woman arrives as ESI 2 with sudden left-sided weakness 90 minutes after onset. BP 172/94, glucose 102 mg/dL, CT head shows no hemorrhage, and NIHSS is 18. Large-vessel occlusion is suspected. Which of the following is the most appropriate imaging study?

Accepted Answer

CT angiography of the head and neck

Answer

Carotid ultrasound as the ED definitive test

Answer

Abdominal ultrasound

Answer

Ventilation-perfusion scan

Answer

MRI lumbar spine

Large-vessel ischemic stroke — ABEM Board MCQ

A 60-year-old woman arrives as ESI 2 with sudden left-sided weakness 90 minutes after onset. BP 172/94, glucose 102 mg/dL, CT head shows no hemorrhage, and NIHSS is 18. Large-vessel occlusion is suspected. Which of the following is the most appropriate imaging study?