Question

A 69-year-old man presents 90 minutes after onset of right-sided weakness and aphasia. CT head shows no haemorrhage. NIH Stroke Scale score is 12. According to Canadian Stroke Best Practice Recommendations, what is the most appropriate acute therapy?

Accepted Answer

Intravenous alteplase if no contraindications

Answer

No reperfusion because symptoms are mild

Answer

Endovascular thrombectomy alone without IV thrombolysis

Answer

Start aspirin 325 mg and delay reperfusion therapy

Answer

Observe for 24 hours before deciding on therapy

Practice question

A 69-year-old man presents 90 minutes after onset of right-sided weakness and aphasia. CT head shows no haemorrhage. NIH Stroke Scale score is 12. According to Canadian Stroke Best Practice Recommendations, what is the most appropriate acute therapy?