Case history/examination
[present history]
A 94-year-old female presented to the hospital with persistent back pain
and transient left hemiparesis. The back pain began on the morning of
October X. The medical examination at a family doctor revealed left
hemiparesis and hypotension. Left hemiparesis improved in about 30
minutes, and no other neurological deficit was observed. After that, she
was referred to our hospital.
[past history]
Dementia, chronic kidney disease
[vital signs and physical examination]
Conscious level: GCS14 (E3V4M6)
Neurologically, no paralysis or dysarthria was observed.
KT36.8℃, blood pressure 90/68mmHg, heart rate 112 bpm (sinus rhythm)
SpO2 95% (room air), respiratory rate 22 times/min