Due to worsening neurologic examination, loss of upper brainstem reflexes, and poor prognosis, the family elected to pursue comfort measures. Additional history was obtained from the patient’s partner after initial stabilization. The patient was noted to have a 20 pack-year smoking history and untreated hypertension. He was last known to be normal seven hours before arrival, before experiencing acute emesis, vertigo, and diaphoresis.
- He emergently underwent mechanical embolectomy with successful recanalization of the basilar artery (Fig. 3).
- Ischemic stroke and intracranial hemorrhage are known, but rare, causes of out-of-hospital cardiac arrest leading to the development of non-shockable rhythms such as asystole or pulseless electrical activity.
- The subsequent history provided by the significant other included signs and symptoms concerning BAO.
- Due to worsening neurologic examination, loss of upper brainstem reflexes, and poor prognosis, the family elected to pursue comfort measures.
Magnetic resonance imaging of the brain without contrast demonstrated extensive posterior circulation infarcts, mass effect with effacement of the basilar https://www.tdameritrade.com/investment-products/forex-trading.html cisterns, and obstructive hydrocephalus (Fig. 4). Recanalization of proximal basilar artery occlusion with persistent bilateral PCA occlusions.
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