QuestionSBA
QuestionChoice
This patient has presented within a 4.5-hour time frame so both thrombolysis and thrombectomy should be used. Thrombectomy only is indicated if the patient presents between 4-6 hours.
10026552
c
Thrombectomy only
QuestionChoice
Patients with an ischaemic stroke presenting within 4.5 hours should be treated with thrombectomy and thrombolysis.
10026550
a
Thrombectomy and thrombolysis
QuestionChoice
Clopidogrel is used in the secondary prevention of stroke and not used initially.
10026554
e
Clopidogrel
QuestionChoice
This patient has presented within a 4.5-hour time frame so both thrombolysis and thrombectomy should be used.
10026553
d
Thrombolysis only
QuestionChoice
Warfarin should not be given in the acute phase of an ischaemic stroke.
10026551
b
Warfarin
Concept
Chapter
2693
3743
Ischaemic Stroke
Topic
141
Neurology
17708
A 72-year-old man presents to A&E with left-sided weakness and speech difficulties. His symptoms started two hours ago. He has a past medical history of peripheral vascular disease and is a smoker. A CT head showed a hyper-dense right middle cerebral artery.

Given the likely diagnosis, what is the initial management?
a