NeuroCases · Stroke & Cerebrovascular

Cases tagged with this specialty.

Ahmed Koriesh Neurologist · 1 week ago

Large MCA infarct 15 h after LKW – ASPECTS 3 — go straight to thrombectomy, or get CT perfusion first?

76F, baseline mRS 1, AF on sub-therapeutic warfarin, global aphasia with R-sided hemiplegia. NCCT ASPECTS 3, left M1 occlusion, LKW 15 h ago. Late window — pull straight to angio or get CTP first?

Ahmed Koriesh Neurologist · 1 week ago

M3 occlusion with aphasia, 18 hours — TNK, thrombectomy, both, or neither?

62F on apixaban, aphasia LKW Tuesday 6 PM, worsened Wednesday noon (18h). NIHSS 16, M3 anterior division occlusion, favorable mismatch. Late window — what do you do?