Abstract

LEON RODRIGUEZ, Patricia  and  ORTEGA MARTINEZ, Rommer Alex. Cerebrovascular accident in the brain stem, unusual presentation with torpid evolution in a renal patient. Gac Med Bol [online]. 2023, vol.46, n.2, pp.123-128.  Epub Dec 01, 2023. ISSN 1012-2966.  https://doi.org/10.47993/gmb.v46i2.663.

The third cause of morbidity and mortality in many countries is cerebrovascular accident (CVA), the incidence is higher in hemodialysis patients. The presence of hemorrhagic stroke is associated with worse results; early diagnosis and treatment are essential due to its rapid expansion, which causes neurological detriment, up to a fatal outcome. The case of a 52-year-old woman is presented, admitted for emergency service on 05/23/23 with a history of three-weekly renal replacement therapy, arterial hypertension, diabetes mellitus; clinical picture with sudden headache of moderate intensity, accompanied by drowsiness, numbness at the level of the cervicodorsal spine, paraparesis in the lower extremities and hypertension; skull tomography with pre-brain stem hemorrhagic stroke; he was admitted to the Intensive Care Unit (ICU) for monitoring and management, however despite the treatment he evolved torpidly and died on 06/11/2023.

Keywords : stroke; brain hemorrhage; chronic renal failure.

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