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Washington University Experience | NEOPLASMS (GLIAL) | Glioblastoma - Gross Pathology | 23A0 Case 23 History
Case 23 History ---- The patient is an 83 year old man with a history of hypertension and alcohol abuse. The patient developed traumatic subarachnoid hemorrhage and a C1 nondisplaced fracture after suffering a fall while intoxicated in 2011. During his hospitalization, he experienced alcohol withdrawal. He also developed a left distal femoral and popliteal DVT prompting the placement of a inferior vena cava filter. Over the last month the patient has been having episodes of confusion and difficulty remembering dates. On 6/6/2014, the patient was found driving his car in the middle of the road. The patient began cursing and yelling at police. After he was stopped, the police found that he had an altered mental status and brought him to an outside ED. At the outside hospital, the patient became combative and was given Haldol, Ativan, and Zyprexa. An MRI scan performed then showed a diffusely infiltrating process involving the right temporal lobe with a 1 cm right-enhancing lesion and a solid enhancing lesion in the left temporoparietal lobe. Three days later, the patient had bradycardia to 20 and became unresponsive. A code was called and the patient was found to have atrial fibrillation. After the code the patient became unresponsive. Due to the patient's poor prognosis, the family made the decision to have the patient put on comfort care and he died the same day.
