Case Reports in Emergency Medicine / 2019 / Article / Fig 3

Case Report

Acute Onset of Hypersomnolence and Aphasia Secondary to an Artery of Percheron Infarct and a Proposed Emergency Room Evaluation

Figure 3

Proposed comprehensive radiological evaluation pathway to be completed in the Emergency Department. Acute onset of any of the following symptoms: altered mental status, memory impairment, hypersomnolence, coma, aphasia, and vertical gaze palsy. +Emergent MRI brain without contrast with limited series of images to be done only if the patient is within the therapeutic window for thrombolysis (<4.5hrs since symptom onset).

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