EM@3AM: Brainstem Strokes
A 74-year-old female presents to the ED via EMS for altered mental status and episodes of apnea. Vital signs include BP 168/89, HR 96, T 98.3, RR 3, SpO2 95% on 15L non-rebreather mask. Symptoms started acutely about 15 minutes prior to arrival. On exam, the patient opens eyes to voice, has extraocular movements intact, is unable to speak, and has 0/5 strength in all extremities. The patient was intubated for acute hypercapnic and hypoxic respiratory failure and airway protection. CT head without contrast reveals brainstem infarction. What is the diagnosis?
EM@3AM: Brainstem Strokes Read More ยป