On arrival, the patient was intubated and ventilated on arrival to the hospital vitals were as follows PR-112 bpm, BP-200/100 mm/hg, RR-22, afebrile, CVS-112bpm, CNS-E1V1M2, PUPIL-B/1 PINPOINT, P/A-soft, and Chest examination-AEBE+. The patient has a known c/o hypertension the patient was on clopidogrel and ecosprin since 2015. A permanent pacemaker in situ is in place since 2015 at Amrita Institute of Medical Sciences and Research Centre, Kochi. Initially managed in the local hospital, the patient was intubated and ventilated in the emergency room, given a low GCS score of E1V1M3. Here is a case of a 62-year-old patient, referred case from VSM, Hospital with c/o of numbness over the right upper limb and head A/w weakness since morning 6 AM. Using a patient’s case study, we would know how a patient presents with this condition and also more about the risk factor and cause of this condition. Hypertensive crises are important medical emergencies, which may result in acute end-organ injuries such as stroke, pulmonary edema, congestive heart failure, aortic dissection, acute myocardial infarction, unstable angina, acute renal failure, and hypertensive encephalopathy. Patients need to receive treatment as soon as possible to promote the best recovery. The public and healthcare professionals must know all of the symptoms of a stroke and are aware that some brain stem strokes heave distinct symptoms. If a stroke in the brain stem results from a clot, the faster blood flow can be restored in this critical area, the better the chances for recovery. More severe brain stem strokes can cause the locked-in syndrome, a condition in which survivors can move only their eyes. If complications are dealt with quickly, there is a good chance of recovery. These complications are often predictable and, with prompt recognition, can be treated. Brain stem strokes can impair any or all of these functions. All of the motor control for the body flows through it. The brain stem, a half inches structure, controls all basic activities of the central nervous system like consciousness, blood pressure, and breathing. Brain stem stroke can also cause double vision, slurred speech, and decreased the level of consciousness. The symptoms of vertigo dizziness or imbalance usually occur together dizziness alone is not a sign of stroke. A person may have vertigo, dizziness, and severe imbalance without the hallmark of most strokes weakness on one side of the body. Brain stem strokes can have complex symptoms, and they are difficult to diagnose. Only about half (54%) of these people have their high blood pressure under control. adults or about 75 million people have high blood pressure. High blood pressure is a common and dangerous condition. It can burst and bleed into the brain, leading to a stroke. Untreated high blood pressure is a major preventable cause of brain hemorrhages, Aneurysm is a weakening in a blood vessel wall and causes swelling in the vessels.
When this happens, a machine called a ventilator keeps oxygen circulating through the person’s bloodstream - a person confirmed as being dead when their brain stem function is permanently lost.
Brain stem death is when a person has permanently lost the potential for consciousness and the capacity to breathe.
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