18th August 2024

A 24-year-old man presents to A&E with visual disturbance.

A 24-year-old man presents to A&E with visual disturbance. He reports that he woke up in the morning with left-sided visual loss and slurred speech which was noticed by his family after being well when he went to bed. He has a background of sickle cell disease and is known to be intermittently compliant with medications. On examination, he has a left homonymous quadrantanopia and is dysarthric. His oxygen saturations ate 97% on air. He has a CT head and a CT angiogram which do not demonstrate any haemorrhage. Haemoglobin is 68 g/L (130-180 g/L) and blood sugar level is within normal range. What would be the most appropriate strategy to prevent further events?

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