Neuro Case # Qaisar Shah, MD Nabeel Herial, MD Larami Mackenzie, - - PowerPoint PPT Presentation

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Neuro Case # Qaisar Shah, MD Nabeel Herial, MD Larami Mackenzie, - - PowerPoint PPT Presentation

Feb 19, 2023 178 likes •280 views

Neuro Case # Qaisar Shah, MD Nabeel Herial, MD Larami Mackenzie, MD Osman Kozak, MD Hana Choe, MD Patient Profile 55ym with PMH HTN, HL, DM presented with acute onset of; Left face/arm/leg weakness (NIHSS 5). IV r-tPA was given

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Neuro Case #

Qaisar Shah, MD Nabeel Herial, MD Larami Mackenzie, MD Osman Kozak, MD Hana Choe, MD

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Patient Profile

  • 55ym with PMH HTN, HL, DM presented with

acute onset of;

– Left face/arm/leg weakness (NIHSS 5). – IV r-tPA was given

  • 24 hours later NIHSS 1
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SLIDE 3

Initial Scan

MCA

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SLIDE 4
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SLIDE 5

24 hours later

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SLIDE 6
  • 36 hours later: worsening of symptoms

– Dysarthria, left face/arm/leg weakness and sensory loss (NIHSS 13)

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SLIDE 7

36 hours later

MCA MCA

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SLIDE 8
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SLIDE 9

MCA

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SLIDE 10