A patient with atrial fibrillation, hypertension and hypercholesterolaemia presents with sudden-onset right-sided weakness, hemianopia and aphasia. This occurred an hour previously while he was eating his breakfast. He is taking aspirin, simvastatin, ramipril and digoxin.
What action would you recommend?
A. Admission to a stroke unit, with CT in the next 24 hours
B. CT within the next 4 hours, and transfer to an acute stroke unit
C. Immediate CT with a view to heparinisation
D. Immediate CT with a view to IV thrombolysis
E. Immediate oral aspirin, then CT as soon as possible
1) Diagnose the patient with TIA stroke according to this clinical vignette, so immediate hospitalization is in need. MRI Flare T2 works on identfyig TIA within 24 hrs after break out, while CT not work untill the next 24 hrs.