Question

A 44-year-old presents 2 hours after onset of right hemiparesis and aphasia. BP is 168/96 mm Hg, glucose 110 mg/dL, platelets 220,000/µL, CT head shows no bleed. What is the best next step?

Accepted Answer

Administer IV alteplase within the 3-4.5 hour window

Answer

Start dual antiplatelet therapy only

Answer

Delay therapy for MRI perfusion

Answer

Immediate mechanical thrombectomy without thrombolysis

Answer

Anticoagulate with heparin

Practice question

A 44-year-old presents 2 hours after onset of right hemiparesis and aphasia. BP is 168/96 mm Hg, glucose 110 mg/dL, platelets 220,000/µL, CT head shows no bleed. What is the best next step?