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Washington University Experience | VASCULAR | Amyloid-Beta Related Angiitis (ABRA) | 1A0 Case 1 History
Case 1 History ---- The patient is a 67-year-old woman with a history of diabetes insipidus, type II diabetes mellitus, hyperlipidemia, hypertension, rheumatic fever, transient ischemic attacks in her fifties causing left sided weakness and numbness, on aspirin prophylaxis, who complained of sudden-onset bifrontal headache on 8/19. Over the next few hours, she became confused and sleepy, then developed left-sided weakness, greater confusion, and vomiting. At an outside institution, head CT revealed a 6 x 3 x 3 cm right frontal intraparenchymal hemorrhage with midline shift. Upon transfer to BJH, her Glasgow Coma Score was 14, and she showed left hemiplegia and neglect. Repeat head CT, performed several hours after the first, showed no significant changes to the right frontal hemorrhage. Operative procedure: Right frontal craniotomy for evacuation of intraparenchymal hematoma.
