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Varón de 77 años, independiente y con antecedentes de hiperuricemia y fibrilación auricular con mala adherencia al tratamiento farmacológico. Acude a urgencia por clínica de diez horas de evolución consistente en hemiplejía izquierda, hemiopsia homónima izquierda y asomatognosía. El TC simple muestra una lesión isquémica incipiente causada por oclusión de la arteria cerebral media derecha con amplia penumbra isquémica a excepción de una pequeña zona infartada. ¿Qué tratamiento podemos ofrecerle?
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