Long-standing Hypertension 2 Hours in Surgery — 64yo Woman | Neurosurgery | SMLE Q#11976
SMLE Question #11976
Surgery
Neurosurgery
Objective: OBJ-310
Last updated: February 2026
A 64-year-old woman with long-standing hypertension presents 2 hours after sudden onset of right arm and leg weakness. Neurologic examination shows dense right-sided hemiplegia with increased tone and brisk reflexes. Noncontrast head CT shows an acute left basal ganglia intraparenchymal hemorrhage without midline shift or mass effect. What is the most appropriate next step in management?
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