ViralTopic

Thrombolysis time window emphasis in stroke

April 4, 2026Conrad Fischer, π™Ÿπ™€π™¨π™ 𝙛𝙖𝙧𝙠𝙖𝙨

Conrad Fischer warns thrombolytics are not good after 4.5 hours due to bleeding risk, while josh farkas notes exceptions like wake-up stroke and says the field is moving too fast for most non-neurologists to track.

No, thrombolytics in STROKE are NOT good after 4.5 hours.
they make you bleed.
there are now exceptions to the 4.5 hr window for lytics (eg wake-up stroke)
this field is moving so fast it’s impossible for most non-neurologists to keep up
Conrad Fischer
π™Ÿπ™€π™¨π™ 𝙛𝙖𝙧𝙠𝙖𝙨
neurologystrokeguidelines

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