Small-to-moderate Infarct Core in Medicine / Internal Medicine — 66yo Man | Neurology | SMLE Q#11849
SMLE Question #11849
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 66-year-old man presents 12 hours after sudden onset of left-sided arm and leg weakness and slurred speech without improvement. He has hypertension and hyperlipidaemia and is not taking anticoagulants. Examination shows right gaze preference, left facial droop, and 2/5 power in the left upper and lower limbs. Non-contrast CT head shows no intracranial haemorrhage. CT angiography/perfusion shows a proximal right middle cerebral artery occlusion with a small-to-moderate infarct core and a large salvageable penumbra. What is the most appropriate management?
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