Question

A 63-year-old with suspected stroke 12 hours after last-known-well has an NIHSS of 6 and CT perfusion showing a small core with large penumbra, proximal MCA occlusion. Best reperfusion strategy?

Accepted Answer

Mechanical thrombectomy if imaging selection criteria are met

Answer

IV alteplase only

Answer

No reperfusion because >6 hours

Answer

Aspirin load and permissive hypertension only

Answer

Intra-arterial thrombolysis alone

Practice question

A 63-year-old with suspected stroke 12 hours after last-known-well has an NIHSS of 6 and CT perfusion showing a small core with large penumbra, proximal MCA occlusion. Best reperfusion strategy?