18th August 2024

A 59-year-old man presents with sudden-onset vertigo, nausea and vomiting and inability to walk due to ataxia

A 59-year-old man presents with sudden-onset vertigo, nausea and vomiting and inability to walk due to ataxia. His CT scan does not demonstrate haemorrhage and he is commenced on aspirin and admitted to the hyper-acute stroke unit where he is stable, and able to work with the physiotherapists. An MRI scan confirms the diagnosis of cerebellar infarction. Three days into his admission, he becomes drowsy and his GCS is 10 when you see him. You order an urgent CT head. What would be the next most important step in the management of this patient?

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