Question

A 70-year-old with acute right hemiparesis presents 90 minutes after onset. CT head excludes hemorrhage; BP 172/98 mm Hg, glucose 128 mg/dL, NIHSS 12. What is indicated?

Accepted Answer

IV alteplase after BP lowering to <185/110 mm Hg

Answer

IV heparin infusion instead of thrombolysis

Answer

Delay therapy until MRI

Answer

Mechanical thrombectomy only

Answer

No reperfusion; start aspirin now

Practice question

A 70-year-old with acute right hemiparesis presents 90 minutes after onset. CT head excludes hemorrhage; BP 172/98 mm Hg, glucose 128 mg/dL, NIHSS 12. What is indicated?