Introduction:
I reported a case of 104 years old patient who presented to Colchester Hospital University foundation NHS Trust with symptoms of stroke. The patient was treated within 31 mins (Door to Needle). 
Case report:
A 104 years old lady was born in 29/02/1912. She lives in the U.K., On the 17th of November 2016 at14:45h, she showed symptoms suggestive of stroke.  She was managed per protocol. Table 1.
NHISS pre -post thrombolysis, 7 days	    13, 6, 6
Pre-post thrombolysis CT head 	            Fig1, Fig2
House to Hospital	                                    26 mins
Door to scanner	                                            12 mins
Door to needle	                                            31 mins
Onset to needle	                                            133 mins
Door to stroke unit	                                    120 mins
Seen first by consultant	                            18 mins
Time to see by O/T and Physio	            15 hs:58 mins
Time to see by speech therapist	            21hs:03 mins.
Length of stay	                                            25 days

Her ECG showed new onset atrial fibrillation.  Patient was discharged home on 12/12/2016.
Her DOAC choice was Apixaban 2.5 mg BD.
She had a total of: 
•	25 visits by medical team. 
•	16 visits by physiotherapist and O/T. 
•	13 visits by SALT. 
•	More than 86 visits by Nurses/HCA.  
•	There are 6 MDT. 
   
Discussion:
In our case, we showed age is not a barrier for treatment. Despite the reservation on using t-PA above 80 years old. It is necessary to maintains report such cases to encourage our stroke society to offer treatment in very senior old elderly patients. In addition, atrial fibrillation remains one of most important risk factor in elderly age group.

AGE IS ONLY NUMBER, THIS IS A POSSIBLE FIRST CASE OF A 104 YEARS OLD PATIENT WHO RECEIVED ALTEPLASE THROMBOLYSIS FOR HER ACUTE STROKE.