A patient arrives 2 hours after the onset of right hemiparesis and aphasia. A non-contrast CT shows no haemorrhage. What is the treatment?
Answer and explanation
Correct answer: C. Intravenous alteplase
- Step 1: This is an acute ischaemic stroke in the thrombolysis window. Step 2. After CT excludes haemorrhage and contraindications are checked, alteplase can restore perfusion. Answer: intravenous alteplase. Why not the others: Heparin does not lyse the clot and raises bleeding risk; thrombolysis is established therapy; aggressive pressure lowering can extend the infarct.
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