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  • It's A Case Report

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    Akbar Gazali
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    An 80-year-old hypertensive woman presented to the emergency department after suddenly falling to her right side with decreased consciousness and left-sided weakness. On examination, she had a Glasgow Coma Scale of 10, high blood pressure, irregular pulse, left homonymous hemianopsia, right facial droop, and right-sided weakness. Imaging showed a total anterior circulation stroke. Her condition deteriorated further, and a repeat CT scan was performed.

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    An 80-year-old hypertensive woman presented to the emergency department after suddenly falling to her right side with decreased consciousness and left-sided weakness. On examination, she had a Glasgow Coma Scale of 10, high blood pressure, irregular pulse, left homonymous hemianopsia, right facial droop, and right-sided weakness. Imaging showed a total anterior circulation stroke. Her condition deteriorated further, and a repeat CT scan was performed.

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    5 views2 pages

    It's A Case Report

    Uploaded by

    Akbar Gazali
    An 80-year-old hypertensive woman presented to the emergency department after suddenly falling to her right side with decreased consciousness and left-sided weakness. On examination, she had a Glasgow Coma Scale of 10, high blood pressure, irregular pulse, left homonymous hemianopsia, right facial droop, and right-sided weakness. Imaging showed a total anterior circulation stroke. Her condition deteriorated further, and a repeat CT scan was performed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    Its a case report

    A 80 year old female, hypertensive for 14 years poorly compliant to Amlodipine presented to the eurology emergency department, with history of sudden fall to her right side, with a decrease in conscious level and preferential movement of left side.At the ER, the GCS was 10 (E4V1M5) had an elevated BP of 190/110 with cardiac rate of 130 bpm and an irregularly irregular pulse rhythm. Pupils were 2-3 mm isocoric, equally reactive to light. There was homonymous hemianopsia on the left eye with shallow right nasolabial fold and right sided hemiparesis. Babinskis was ellicitable on the right side. The admitting impression was total nterior circulation infarction. Nicardipine, Mannitol, Citicholine, Atorvastatin and Lactulose were started and she was admitted to the ward. On day 2, the patient deteriorated with GCS 3 and anisocoric pupils, a cranial CT scan was repeated.

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