Case 152

Medical history

60 year-old male patient, admitted to the ER in a state of drowsiness and presented right sided hemiplegia and central facial paralisis. He was aphasic and his GCS score was 10. Was found unconscious at home, by family members, who were unable to determine precisely the time of the onset of symptoms. Positive history of coronary artery disease, heavy smoking (40 pack-years) and bipolar disorder. A computed tomography (CT scan) of the head without iodine contrast was ordered.

What is the most likely diagnosis and the best course of action considering this case and the images provided?

Leave a Reply