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Acute ischaemic stroke — PARA MCQ

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HardGeneral Medicine - NeurologyAcute ischaemic strokePARA

A 67-year-old man develops right arm weakness and expressive dysphasia 70 minutes ago. CT head excludes haemorrhage, capillary glucose is 6.1 mmol/L and blood pressure is 172/92 mmHg. What is the most important next step?

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Correct answer: E — Urgent stroke-team review for thrombolysis and thrombectomy eligibility

Acute ischaemic stroke within the reperfusion window needs immediate specialist stroke assessment for thrombolysis and thrombectomy suitability after haemorrhage is excluded.

Reference: NICE NG128: Stroke and transient ischaemic attack