What is the treatment approach for ischemic stroke?

• A. Conservative management with rest
• B. Removal of blockage and restoration of cerebral blood flow using IV thrombolysis or thrombectomy or carotid endarterectomy
• C. Physical therapy only after weeks
• D. Antiepileptic medication only

Answer: (B)

Ischemic stroke treatment aims to rapidly restore blood flow by removing or dissolving the blockage to minimize brain damage. This is done with reperfusion therapies: intravenous thrombolysis to dissolve clots, mechanical thrombectomy to physically remove large clots through the vessels, and carotid endarterectomy to restore flow when significant carotid artery narrowing is present. Time matters because lost brain tissue accumulates quickly, so these interventions are pursued as soon as possible within appropriate eligibility windows.

Relying on rest does not address the blocked artery and allows ongoing brain injury. Physical therapy is crucial for recovery, but it cannot substitute for urgent reperfusion in the acute phase. Antiepileptic medication alone does not treat the underlying blockage and is not the primary strategy for acute management.