Question

A 71-year-old presents 8 hours after sudden right hemiplegia and aphasia. CT head shows no hemorrhage. CT perfusion demonstrates a large penumbra-core mismatch with an M1 proximal occlusion. NIHSS is 16. What is the most appropriate therapy now?

Accepted Answer

Endovascular mechanical thrombectomy

Answer

IV alteplase

Answer

Aspirin only

Answer

Therapeutic heparin infusion

Answer

No reperfusion therapy due to time

Practice question

A 71-year-old presents 8 hours after sudden right hemiplegia and aphasia. CT head shows no hemorrhage. CT perfusion demonstrates a large penumbra-core mismatch with an M1 proximal occlusion. NIHSS is 16. What is the most appropriate therapy now?