Question

A 64-year-old with minor ischemic stroke (NIHSS 2) presents 3 hours after onset; CT shows no bleed. Which reperfusion strategy is indicated?

Accepted Answer

Administer IV alteplase within 4.5 hours of onset (if eligible)

Answer

No thrombolysis for minor symptoms

Answer

Wait for MRI confirmation first

Answer

Give tenecteplase only outside trials

Answer

Endovascular therapy alone

Practice question

A 64-year-old with minor ischemic stroke (NIHSS 2) presents 3 hours after onset; CT shows no bleed. Which reperfusion strategy is indicated?