Does this patient have any contraindications to thrombolysis for a presumed stroke?
There is nothing in the past medical history to exclude thromobolysis, nor any evidence of haemorrhage on the CT. However, there is no clear time of onset so he is not a candidate for thrombolysis (relying the 4.5 hour window from onset).
Initally reported as normal examination.
On review of original non-contrast scan by neuro-radiologists hypodensities and loss of deep grey matter in thalamic areas noted.