Mild Slurring Of Speech in Surgery — 62yo Woman | Neurosurgery | SMLE Q#12290
SMLE Question #12290
Surgery
Neurosurgery
Objective: OBJ-310
Last updated: February 2026
A 62-year-old woman presents 1 hour after sudden right arm and leg weakness with mild slurring of speech. BP is 188/102 mmHg. Neurologic exam shows dense right-sided hemiplegia with right upper motor neuron facial weakness; sensation is intact. Non-contrast head CT shows a left basal ganglia intracerebral hemorrhage without midline shift or herniation. She is protecting her airway. What is the most appropriate next step in management?
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