A 64-year-old woman arrives 80 minutes after sudden right hemiparesis and aphasia. BP is 184/98, glucose is 6.2 mmol/L, CT head shows no haemorrhage,

Question

A 64-year-old woman arrives 80 minutes after sudden right hemiparesis and aphasia. BP is 184/98, glucose is 6.2 mmol/L, CT head shows no haemorrhage, and CTA shows left M1 occlusion. She was independent before this event and has no anticoagulant use. What is the most appropriate next step?

Accepted Answer

Activate stroke thrombolysis and endovascular thrombectomy pathways

Answer

Give levetiracetam before reperfusion therapy

Answer

Give aspirin and discharge with rapid TIA clinic follow-up

Answer

Start intravenous heparin infusion

Answer

Observe for spontaneous recovery before calling neurology

Acute ischaemic stroke with large vessel occlusion — RCPSC EM MCQ

A 64-year-old woman arrives 80 minutes after sudden right hemiparesis and aphasia. BP is 184/98, glucose is 6.2 mmol/L, CT head shows no haemorrhage, and CTA shows left M1 occlusion. She was independent before this event and has no anticoagulant use. What is the most appropriate next step?