Table of Contents
Washington University Experience | NEOPLASMS (GLIAL) | Subependymal Giant Cell Astrocytoma (SEGA) | 8A0 Case 8 History
Case 8 History ---- This was a 44 year-old male with a history of sickle cell trait with left thalamic hemorrhage (1/01), head injury s/p right craniotomy, and seizures. His baseline mental status and function was not clear but reportedly he was discharged with right hemiplegia, aphasia and abulia after his bleed in 1991. On the day of admission, he was found to have seizures in the nursing home, which ended during the ambulance ride to the ER (unknown duration). Upon arrival, he was found to be hypoxic, febrile, severely acidotic (pH=6.89) and required intubation. His neurologic examination showed unresponsiveness to voice, symmetric pupils with minimal reaction, some conjugate eye movements, spontaneous movement of left upper extremity and spastic right upper extremity. Head CT revealed diffuse atrophy, multiple small intracerebral hemorrhages in the right parietal lobe (2.6 x 1.4 cm), right basal ganglia (right). A tracheostomy and G-tube were placed. After transferring to a regular floor and awaiting placement, he was found pulseless and was unable to be revived.
