7th June 2021

A 64-year-old man presents to A&E with sudden onset back pain and bilateral leg weakness

A 64-year-old man presents to A&E with sudden onset back pain and bilateral leg weakness, with no associated trauma. The patient has a past medical history of hypertension and TIAs. An urgent MRI spine confirms a diagnosis of anterior spinal artery syndrome. The patient is found to be persistently hypotensive with a systolic blood pressure ranging between 80 and 90 mmHg, despite fluid resuscitation.

Which drug would be contraindicated in the management of this patient?

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