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Washington University Experience | MYELIN (NON-IMMUNE MEDIATED) | Binswangers | 5A0 Case 5 History
Case 5 History ---- This is a 62 year-old woman with a history of old left subcortical CVA, worsening congestive heart failure, diabetes, hypertension, endstage renal disease and mental status changes. Most recently the patient became more confused and agitated, and then had a short episode of unresponsiveness, followed by vomiting, bradycardia (heart rate ~40bpm) and dyspnea. In the ER, she was described as confused, agitated, diaphoretic and cyanotic. No focal weakness was reported. Soon, she became unresponsive, and developed agonal breathing. She received CPR for 45 min and was intubated and treated with pressors unsuccessfully.
