A 68-year-old arrives 10 hours after onset of right MCA syndrome with CTA showing proximal M1 occlusion and perfusion imaging demonstrating salvageabl...

Question

A 68-year-old arrives 10 hours after onset of right MCA syndrome with CTA showing proximal M1 occlusion and perfusion imaging demonstrating salvageable penumbra. Best therapy?

Accepted Answer

Consider endovascular thrombectomy because selected patients benefit up to 24 hours from last known well

Answer

IV alteplase is indicated up to 12 hours from onset

Answer

IV tenecteplase is indicated up to 24 hours

Answer

Antiplatelets only; intervention window has passed

Answer

Immediate decompressive craniectomy is first-line

us-abem MCQ (SBA): Acute Ischemic Stroke

A 68-year-old arrives 10 hours after onset of right MCA syndrome with CTA showing proximal M1 occlusion and perfusion imaging demonstrating salvageable penumbra. Best therapy?