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Balancing Thrombolytic Risk and Disability in Low NIHSS Stroke Patients
A patient with a low NIHSS score (1-2) due to partial blindness from a stroke in the PCA impacting the visual cortex did not receive thrombolytics. The decision not to administer thrombolytics was based on the low NIHSS score, despite the patient's significant disability from partial blindness. The case raises questions about balancing the risk of ICH with the potential benefits of thrombolytics in patients with low NIHSS but significant disability.
Science, Medicine, Neurology