Pregnant patient came with right sided hemiparesis and aphasia > 1 hour, CT came normal. What is the next best step?
Diagnosis - Acute ischemic stroke as CT is normal Patient brought within window period (within 4.5 hrs)(however patient is pregnant) | You still carry out thrombolysis: main best step. Thrombolysis indications: (in pregnancy) Pulmonary embolism in pregnancy. Stroke in pregnancy Metallic prosthetic valve (resulting in clot migrated to brain) Option 1- Dual antiplatelet therapy is indicated for Mx of TIA (no role in AIS as stroke present) DAT is indicated in: STEMI, NSTEMI, TIA Option 3 and 4 are interrelated usually done for late presentation >4.5 hr in cerebral aeries of patient
Dual antiplatelet therapy immediately
Thrombolysis
Do MRI and catheter guided clot extraction
Thrombectomy
Stroke and TIA