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A 65-year-old man presented with sudden onset of left-sided numbness and weakness, accompanied by mild word-finding difficulty. He had gone to bed around 9:30 p.m. in his usual state of health and awoke at 12:30 a.m. with these symptoms. On arrival at the hospital, approximately six hours after symptom onset, his neurological deficits had improved, and the initial NIHSS score was 0. However, brain CT revealed a clot, and six hours later his condition deteriorated to an NIHSS of 5.
Given his past medical history of myocardial infarction (7 years prior), type 2 diabetes, and hypertension, and his ongoing aspirin therapy (81 mg), the team decided to proceed with mechanical thrombectomy, performed approximately 12 hours after onset. Watch the full procedure.
