Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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May 4, 2023
A 59-year-old man with no known medical illness presents 3.5 hours post acute onset of right-sided body weakness and numbness. MRI shows acute infarct of the left basal ganglia (> 3 contiguous slices), with evidence of DWI and FLAIR mismatch. The NIHSS score is 8 at presentation, but fluctuates to 11. Intravenous thrombolysis with 0.25 mg/kg tenecteplase is administered.
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