Question

A 67-year-old presents 10 hours after last known well with right hemiparesis (NIHSS 12). CT head shows no hemorrhage; CTA shows left M1 occlusion. CT perfusion shows salvageable penumbra. What is the most appropriate next step?

Accepted Answer

Aspirin 325 mg and admit to stroke unit

Answer

IV alteplase because he is within 12 hours

Answer

Mechanical thrombectomy with neurointerventional team

Answer

Therapeutic heparin infusion

Answer

Dual antiplatelet therapy for 21 days

Practice question

A 67-year-old presents 10 hours after last known well with right hemiparesis (NIHSS 12). CT head shows no hemorrhage; CTA shows left M1 occlusion. CT perfusion shows salvageable penumbra. What is the most appropriate next step?