RT Book, Section A1 Hayden, Jr, J. William A1 Chumley, Heidi S. A2 Usatine, Richard P. A2 Smith, Mindy A. A2 Mayeaux, Jr., E.J. A2 Chumley, Heidi S. SR Print(0) ID 1164350500 T1 Cerebral Vascular Accident T2 The Color Atlas and Synopsis of Family Medicine, 3e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259862045 LK accessmedicine.mhmedical.com/content.aspx?aid=1164350500 RD 2024/10/03 AB A 65-year-old hypertensive black man presented to the emergency department with onset of right face, arm, and hand paralysis, and difficulty communicating. Rapid diagnostic testing using MRI revealed an ischemic infarct in the left middle cerebral artery (Figure 241-1). He was evaluated by a stroke response team and was found to be a candidate for tissue plasminogen activator (TPA). After the stroke, he was treated with aspirin, antihypertensives, and cholesterol-lowering medication. He recovered 80% of his neurologic deficit over the next 3 months. Figure 241-2 is a noncontrast CT image of this patient 2 weeks later.