Now 2 hrs 15 mins (135 mins) since onset, BP currently 170/98, NIHSS unchanged at 22.
Category: Advancing Modules
01: CT Angiogram
What abnormalities if any can you see?
Study the CTA image above and answer the questions below.
20: Hyperacute stroke decision making for clinicians
This module was developed by:
Prof Martin Dennis, Professor of Stroke Medicine, The University of Edinburgh
Jacqueline Aim, e-learning Content Developer, Interactive Content, The University of Edinburgh
Experienced colleagues:
- Prof Mark Barber, Stroke Physician, NHS Lanarkshire
- Dr Tracey Baird, Consultant Neurologist, NHS Greater Glasgow and Clyde
- Dr Anthony Pereira, Consultant Neurologist and Stroke Physician, St George’s Hospital, London
- Dr Shelagh Coutts, Professor of Neurology, University of Calgary, Canada
- Dr William Whiteley, Reader, Deanery of Clinical Sciences, Centre for Clinical Brain Sciences, The University of Edinburgh
Scans and interpretation by:
Dr Paul Armstrong, NHS Greater Glasgow and Clyde, Institute of Neurological Sciences
Reviewers:
Dr Fiona Wright, Consultant Stroke Physician, Glasgow Royal Infirmary and deputy advisor to the Chief Medical Officer
Dr Wazim Izzath, Consultant Interventional Neuroradiologist, NHS Greater Glasgow and Clyde, Institute of Neurological Sciences
Please note there is no formal assessment associated with this module.
You can receive a confirmation certificate indicating that you have accessed the resource if you complete a short evaluation questionnaire at the end of the module.
01: Non contrast CT head
What abnormalities if any can you see?
Try the quiz below to find out.
Case 01

Clinical history and examination
Age: 82 years, Female.
Time of presentation: 11.00
History of event
- Symptoms: stopped speaking, right face drooped and unable to use right arm or stand
- Onset: 09.00 up and about, witnessed by husband, Current time interval since last known well: 2 hrs (120 mins)
Past medical history
- Hypertension
- Previous angina
Relevant medications
- Aspirin
- Statin
- ACE inhibitor
Relevant social history
- Living circumstance: at home with husband
- Prior function and care needs: independent
- Work/hobbies: retired, bingo, reading
Examination
- Pulse: 72, BP: 175/92
- Neuro:
- Handedness: right handed
- NIHSS: 22
- Deficits: global aphasia, severe right hemiparesis, inattention right visual field
Investigations requested with non imaging results
- ECG SR
- LVH
- Recent blood tests normal
Bladder quiz
Q. Answer yes or no to the following statements about the Bladder.
Components of a cigarette
- Nicotine
- Tar
- Acetone
- Arsenic
- Carbon monoxide
- Cadmium
- Hydrogen cyanide