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Case Records of the Massachusetts General Hospital
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Volume 354:2263-2271 May 25, 2006 Number 21
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Case 16-2006 — A 72-Year-Old Woman Admitted to the Emergency Department because of a Sudden Change in Mental Status
Stephen H. Thomas, M.D., M.P.H., Lee H. Schwamm, M.D., and Michael H. Lev, M.D.

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Presentation of Case

Dr. Emily Senecal (Emergency Medicine): A 72-year-old left-handed woman was transported by helicopter from her home to the emergency department of this hospital because of a sudden change in mental status and left hemiparesis.

On the day of admission, she was well when last seen by her husband at 11:30 a.m. At 12:15 p.m., her son called her at home, and she produced only slurred and unintelligible speech. He called his sister, who notified emergency medical services (EMS). At 12:45 p.m., the daughter arrived at the patient's home, followed shortly by EMS, and they found the patient lying on the . . . [Full Text of this Article]

Management

Primary Transport of Patients with Acute Stroke

Use of Neuromuscular Blockade

Reasons to Consider Thrombolysis in Acute Ischemic Stroke

Anatomical Diagnosis


Source Information

From Emergency Services (S.H.T.), Tele-Stroke and Acute Stroke Services (L.H.S.), and Emergency Neuroradiology (M.H.L.), Massachusetts General Hospital; and the Departments of Surgery (S.H.T.), Neurology (L.H.S.), and Radiology (M.H.L.), Harvard Medical School.


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