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A 74-year-old woman presented to the emergency department two hours after the development of slurred speech and weakness of the left arm and leg. The blood pressure was 154/66 mm Hg, and the platelet count was 203,000 per cubic millimeter. A neurologic examination revealed a right-gaze preference, left hemiplegia, and a left hemisensory deficit. Computed tomography (CT) of the brain revealed no abnormalities, and the results of coagulation studies were normal. Tissue plasminogen activator was administered intravenously over a one-hour period for acute ischemia of the right middle cerebral artery. The blood pressure remained below 185/110 mm Hg during the . . . [Full Text of this Article] |
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