Question

A 61-year-old presents 10 hours after onset of right MCA syndrome. CT perfusion shows a small core with large penumbra; LVO confirmed. Best management?

Accepted Answer

Mechanical thrombectomy up to 24 hours in selected patients

Answer

No reperfusion due to >6 hours

Answer

IV thrombolysis only

Answer

Anticoagulation immediately

Answer

Aspirin only

Practice question

A 61-year-old presents 10 hours after onset of right MCA syndrome. CT perfusion shows a small core with large penumbra; LVO confirmed. Best management?