A 58-year-old with large hemispheric stroke presents at 2 hours. CT shows early ischemic changes with ASPECTS 5 and NIHSS 22; no hemorrhage. What is t...

Question

A 58-year-old with large hemispheric stroke presents at 2 hours. CT shows early ischemic changes with ASPECTS 5 and NIHSS 22; no hemorrhage. What is the reperfusion plan?

Accepted Answer

Consider endovascular thrombectomy if LVO confirmed; IV alteplase if eligible

Answer

IV alteplase only

Answer

No reperfusion due to low ASPECTS

Answer

Aspirin now

Answer

Heparin infusion

"severe stroke-thrombectomy + ivt" MCQ (SBA): Ischemic Stroke

A 58-year-old with large hemispheric stroke presents at 2 hours. CT shows early ischemic changes with ASPECTS 5 and NIHSS 22; no hemorrhage. What is the reperfusion plan?