MRCP2-3227

MRCP2-3227

A 68-year-old right-handed man is referred to the Stroke Unit. He is a lifelong heavy smoker but has no past medical history. He reports sudden onset facial paralysis that has persisted for a day. He also notes that sounds seem louder on the left side.

Upon examination, there is flattening of the nasolabial fold on the left, and he is unable to raise his eyebrow or close his eye on that side. His blood pressure is 160/80 mmHg. There is no rash or adenopathy. The rest of his neurological examination, including auroscopy, assessment of parotids and mucous membranes, is normal.

What is the most appropriate management plan for this patient?