Question

A 78-year-old presents 10 hours after stroke onset with left hemiparesis. CTA reveals right M1 occlusion; perfusion imaging shows mismatch. What is recommended?

Accepted Answer

Mechanical thrombectomy within 6-24 hours using imaging selection

Answer

IV alteplase is indicated up to 9 hours

Answer

No reperfusion beyond 6 hours

Answer

Anticoagulation emergently

Answer

Aspirin only and rehab

Practice question

A 78-year-old presents 10 hours after stroke onset with left hemiparesis. CTA reveals right M1 occlusion; perfusion imaging shows mismatch. What is recommended?