Detailed description of medium vessel occlusion case scenarios
| Occlusion site | Case vignette |
| M3 | A patient in their late 60s presents with dysphasia. The NIHSS is 4, ASPECTS on non-contrast CT is 10. CT angiography shows an M3 occlusion. Symptom onset was 2 hours ago. The premorbid functional status was normal. How would you treat this patient? |
| A2 | A patient in their early 60s presents with right sided leg paralysis. The NIHSS is 3, ASPECTS on non-contrast CT is 10. CT angiography shows an A2 occlusion. Symptom onset was 4 hours ago. The premorbid functional status was normal. How would you treat this patient? |
| P2 | A patient in their mid-50s presents with left sided hemianopia. Their NIHSS is 2, ASPECTS on non-contrast CT is 10. CT angiography shows a P2 occlusion. Symptom onset was 3.5 hours ago. The premorbid functional status was normal. The patient isan Air Canada pilot. How would you treat this patient? |
ASPECTS, Alberta Stroke Program Early CT Score; NIHSS, National Institutes of Health Stroke Scale.