Substantial Volume Of Potentially in Medicine / Internal Medicine — 64yo Man | Neurology | SMLE Q#12305
SMLE Question #12305
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 64-year-old man presents 12 hours after sudden onset of right arm and leg weakness and slurred speech. Examination shows right hemiparesis (3/5) and mild expressive aphasia. Noncontrast CT head shows no intracranial hemorrhage. CT angiography shows proximal left middle cerebral artery occlusion. Perfusion imaging suggests a small infarct core with a substantial volume of potentially viable tissue. He was last known well 12 hours ago. What is the most appropriate management at this time?
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