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

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 • 24 hours later NIHSS 1

Initial Scan MCA

24 hours later

• 36 hours later: worsening of symptoms – Dysarthria, left face/arm/leg weakness and sensory loss (NIHSS 13)

36 hours later MCA MCA

MCA