Patient History: A 68-year- old woman is hospitalized in the coronary care unit and has suffered 3 continuous tonic-clonic seizures within the past 45 minutes, each lasting about 5 minutes. She is 2 days postoperative from a repaired ascending aortic aneurysm. She never recovered wakefulness in the postoperative period. There are multiple hypodense embolic strokes revealed on a CT scan of the brain performed the day after her surgery. Laboratory findings: Her electroencephalogram (EEG) shows bursts of active seizure activity.
Her respiratory rate is 18 breaths/minute, blood pressure is 160/90 mm Hg, heart rate is 150 beats/minute, and the temperature is 99.9°F. She weighs 60 kg. What is the most likely mechanism responsible for the patient`s condition and what is the best immediate treatment? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: Case…
