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Washington University Experience | VASCULAR | Cavernous Angioma | 15A0 Case 15 History
Case 15 History ---- The patient was an 83 year old, right-handed male admitted on 10/9/02 to BJC Health system for progressive lower extremity weakness, rapidly progressive dementia, parkinsonism, and chronic left flank pain that caused insomnia. His past medical history was significant for bronchioalveolar lung carcinoma, s/p left lower lobectomy in 1986, prostate cancer, s/p prostatectomy in 1987, hypertension, atrial fibrillation and coronary artery disease. MRI of brain and spinal cord showed an enhancement in the right insula and an enhancing focus in T11 vertebral body. Renal ultrasound demonstrated a 3x3 cm solid lesion in the upper pole of right kidney. On 10/14, he became tachypneic and hypoxic (oxygen saturations 61%) and was transferred to the ICU. He was started on heparin for atrial fibrillation, and developed multiorgan failure. He had ARDS related to ORSA pneumonia, cardiac failure from severe aortic insufficiency, and renal failure. He was sedated and intubated until the family withdrew support.
