Tuesday, March 10, 2009

Acute Stroke: Cerebral Hemorrhage

The patient is a 49-year-old African-American woman with a history of hypertension and diabetes mellitus who was seen after experiencing numbness and tingling of the left leg for about one day.
 
Systemic arterial blood pressure was 240/130. There was no weakness, facial droop, visual change; no upper extremity or right lower extremity sensory abnormality; no bowel or bladder dysfunction; no headache, fever, shortness of breath, chest pain, nausea, vomiting, diaphoresis, vertigo or light-headedness, no back pain, and no history of seizures. A full discussion of imaging of hemorrhage can be found here.