62/F,slurred speech with BP 160/100mmhg(new onset) no LOC, no weakness,no facial palsy,started on antihypertensives BP came under control in 2 days did NCCT after 6 days of onset which is normal, meanwhile started on aspirin 150mg, slurring decreased, did MRI to rule out posterior circulatory stroke after 20 days which is normal, now aspirin dose reduced to 75 mg, how long it should be continued?What might be the reason for slurred speech?
Answers (2)
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At age of 62 with history of hypertension,acute dysarthria/dysphasia with normal MRI, clinically still most likely to be ischaemic.
In my opinion liw dose aspirin should be continued with antihypertensives according to BP.
Evaluate for other risk factors
Diabetes / Dyslipidemia/CAD.
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