Vignettes

Question 1

27 y/o F, s/p fall; c/o sudden onset neck pain radiating upwards. Weakness in R arm, ptosis and L eye. CT (+) for ischemic stroke. What is the source of ischemia?

Answer 1

carotid dissection –> Horner’s

Question 2

Elderly male w/ Alzheimers; brought to ED obtunded w/ left weakness.

Answer 2

congophilic angiopathy

weakened vessels due to amyloid, polar bleeding

Question 3

45 y/o F, minor head trauma while skiing; ambulating after fall, progressing to lethargy, ultimately death.

Answer 3

epidural hematoma (due to rupture of middle meningeal)