Case presentation A 65-year-old man affected with left-sided weakness, left-sided facial numbness, dysphagia, and dysarthria was admitted to the emergency department. The patient had a history of stroke, type 2 diabetes, and hypertension. First day in the emergency department Clinical examination Temperature โ 98.6 F Blood pressure โ 212/102 mmHg Respiratory rate โ 14 breaths/minute Pulse rate โ 66 beats/minute Complete blood count โ Normal Basal metabolic panel โ 420 mg/dl glucose Neurological examination Normal pupils reacted to light Motor power in four extremities โ 5/5 ย First CT scan and computed tomography angiogram (CTA) โ No intracranial abnormalities Chest X-ray โ no abnormalities The patient was prescribed to take aspirin 325mg and atorvastatin 80mg.
The patient was fell in the emergency department when trying to urinate and got a laceration in the left orbit. A second CTโฆ