A patient has a sudden weakness of the right arm and slurred speech that began 2 hours ago. After a CT scan that excludes bleeding, which treatment can be considered?

Answer and explanation

Correct answer: B. Intravenous alteplase within 4.5 hours of onset

  1. Step 1: Thrombolysis for ischaemic stroke is limited to a 4.5-hour window from symptom onset, after bleeding is excluded.
Answer
Intravenous alteplase within 4.5 hours of onset.
Why not the others: Heparin is not a recommended reperfusion treatment.

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