امرأة عمرها ٦١ سنة استيقظت بضعف كامل في الجهة اليمنى وعدم قدرة على الكلام، وآخر مرة شوهدت طبيعية قبل ٨ ساعات. التصوير يظهر انسداد شريان كبير مع منطقة دماغ ما زالت قابلة للإنقاذ. أي علاج قد يكون ممكناً رغم مرور وقت المذيب الوريدي؟

A 61-year-old woman woke with complete right-sided weakness and inability to speak; she was last seen well 8 hours ago. Imaging shows a large-vessel occlusion with salvageable brain tissue. Which treatment may still be possible despite the IV thrombolysis window having passed?

1. Thrombectomy after imaging assessment
2. IV thrombolysis at any time
3. Increasing fluids only
4. No treatment is possible beyond 4 hours of onset

Answer: A) Thrombectomy after imaging assessment. Mechanical thrombectomy can be done up to 24 hours in selected large-vessel occlusions when imaging shows salvageable tissue, so rapid transfer to stroke centres matters.