Question

A 75-year-old man with 2-hour onset of right-sided weakness and expressive aphasia has a CT excluding hemorrhage. Within the 4.5-hour window, what is the recommended acute management?

Accepted Answer

IV alteplase (thrombolysis) then aspirin after 24 hours

Answer

Immediate aspirin

Answer

Intracranial stent

Answer

LMWH prophylaxis immediately

Answer

Carotid endarterectomy first

Practice question

A 75-year-old man with 2-hour onset of right-sided weakness and expressive aphasia has a CT excluding hemorrhage. Within the 4.5-hour window, what is the recommended acute management?