Acute Code Stroke
#neurotwitter 🚑🧠
Help me with this acute
#stroke decision making.
80 yr old, mRS 0. LSW 5.5 hrs ago. NIHSS >20 (mute, R hemiplegia). CTA shows L distal M1 occlusion, and distal L A2 occlusion. CT/CTA/CTP below.
How would you manage?