AI Article Synopsis
- An 81-year-old woman with a history of dementia and a previous stroke showed symptoms of left hemineglect and rightward gaze due to a right-sided frontal lobe hemorrhage, which was confirmed by a CT scan.
- Her National Institutes of Health Stroke Score was low (4), indicating a potentially less severe stroke, and despite her significant neurologic deficit, she remained alert and able to protect her airway.
- The case highlights that intracerebral hemorrhages can have a gradual onset and may not always necessitate surgery, with the patient's treatment focused on observation and blood pressure management in the ICU.
Article Abstract
We report the case of an 81-year-old woman who presented with a left hemineglect, a rightward gaze preference, and baseline disorientation. Her National Institutes of Health Stroke Score was 4. Her medical history was significant for dementia, osteoporosis, dyslipidemia, and a previous stroke. CT revealed a right-sided frontal lobe hemorrhage with surrounding edema and subarachnoid hemorrhage. Laboratory evaluation was significant for leukocytosis. The etiologies, clinical presentation, and diagnosis of this often devastating type of stroke are presented. While she did have a significant neurologic deficit (neglect), she was able to remain alert and protect her airway. Her hospital course consisted of observation in the ICU and blood pressure management. The case illustrates that intracerebral hemorrhage (ICH) can sometimes present indolently and does not always require surgical intervention.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9741553 | PMC |
| http://dx.doi.org/10.7759/cureus.31345 | DOI Listing |
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