Case of the week 14

Time- 0200

A 51-year-old male with a history of diabetes and hypertension presented to the hospital with left facial droop, slurred speech, and left-sided hemiparesis. His initial CT scan was negative for acute hemorrhage. As he has no contraindication for thrombolysis the stroke team decided to treat him with tPA.

After the infusion finished patient developed left-sided facial swelling.

  • How will you approach this situation initially?

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