<prompt> Pregnant patient came with right sided hemiparesis and aphasia 1 hour, CT came normal. What is the next best step?Dual antiplatelet therapy immediatelyThrombolysisDo MRI and catheter guided clot extractionThrombectomy  <response>: Diagnosis - Acute ischemic stroke as CT is normal Patient brought within window period within 4.5 hrshowever patient is pregnant You still carry out thrombolysis: main best step. Thrombolysis indications: in pregnancy Pulmonary embolism in pregnancy. Stroke in pregnancy Metallic prosthetic valve resulting in clot migrated to brain Option 1- Dual antiplatelet therapy is indicated for Mx of TIA no role in AIS as stroke present DAT is indicated in: STEMI, NSTEMI, TIA Option 3 and 4 are interrelated usually done for late presentation 4.5 hr in cerebral aeries of patient 