A 68-year-old presents 2 hours after last-known-well with right hemiparesis (NIHSS 8). BP is 198/112 mm Hg; noncontrast head CT shows no hemorrhage. W...

Question

A 68-year-old presents 2 hours after last-known-well with right hemiparesis (NIHSS 8). BP is 198/112 mm Hg; noncontrast head CT shows no hemorrhage. What is the best immediate management?

Accepted Answer

Lower BP below 185/110 mm Hg with IV antihypertensive and administer IV alteplase

Answer

Give aspirin 325 mg now and observe

Answer

Withhold thrombolysis and start nicardipine infusion only

Answer

Proceed directly to mechanical thrombectomy without thrombolysis

Answer

Await spontaneous BP improvement before considering therapy

us-abem MCQ (SBA): Acute Ischemic Stroke

A 68-year-old presents 2 hours after last-known-well with right hemiparesis (NIHSS 8). BP is 198/112 mm Hg; noncontrast head CT shows no hemorrhage. What is the best immediate management?