One side weakness, On NCCT No hemorrhage seen, BP is 160/100 what you should do as clinician?
- One sided weakness indicates stroke. Stroke - IOC for stroke - NCCT - IOC for acute infarct / ischemic stroke is MRI (Diffusion weighted MRI) NCCT Hyperdense Hypodense / normal Haemorrhagic stroke Ischemic stroke / acute infarct - If MRI cannot be done and ischemic stroke is suspected: Sta thrombolytics. - BP should not be managed unless more than 180/110- ONLY aspirin is proven to be useful as an antiplatelet in the management of acute infarcts.
Manage BP
Do Nothing
Thrombolytics
Aspirin plus Clopidogril
CT SCAN