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Washington University Experience | VASCULAR | Hypoxia-Ischemia, adult | Cerebellum | 6A0 Case 6 History
Case 6 History ---- The patient was a 51-year-old man with a history of congestive heart failure, obstructive sleep apnea, COPD, hypertension, chronic kidney disease, neuropathy, and possible myopathy. He presented to the ED of BJH on 3/28 with shortness of breath and chest pain. During the afternoon of 3/30, the patient developed hypotension, tachycardia, and hypoxemia which progressed into pulseless electric activity and was resuscitated. MRI of the head and brain (3/31) showed acute diffuse bilateral cerebellar hemispheric abnormality consistent with hypoxia/ischemia and focal infarction with no evidence of thrombi in major vessels. He was in acute renal failure and acute respiratory failure. He was found unresponsive, breathless, pulseless, and without heart tones, blood pressure, or corneal reflexes on 4/4.
