Second Opinion Consultation


88 yr old female with syncopal episode at the grocery store. Has left sided weakness with slurred speech and facial drooping on the left. She has a history of atrial fibrillation but is only on ASA for it. She also takes 3 medications for hypertension. Her vitals show: HR = 100's a.fib. ; BP = 135/75. Her INR = 1.1. We are requesting an acute stroke neurology consultation for possible tpa administration.

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Case Comments:

  • 07 Feb 2014 04:23

    Not sure I understand this case. is this an acute consultation to decide if this patient needs thrombolytics or not? syncopal episode preceding the stroke? dysarthria and left sided weakness, but what did the exam show? is there any cortical dysfunction like left side neglect? anyway, poorly presented case, not sure what the objective is but will be great if somebody can clarify this.