19th July 2023

An 88-year-old woman presents with sudden onset right-sided weakness, which started 7 hours ago.

An 88-year-old woman presents with sudden onset right-sided weakness, which started 7 hours ago. She has a history of hypertension, atrial fibrillation, GORD and osteoporosis. She is anticoagulated with warfarin. The patient’s CT scan is shown (see image below).

CT scan

What is the most suitable management option?

Select the SINGLE most appropriate option from the list below. Select ONE option only.