Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of neurological deficits including [vertigo/dizziness], [diplopia], [dysarthria], and [ataxia]. Symptoms progressed rapidly to [altered mental status/coma] or [quadriparesis]. Onset time: [Time]. Last known well: [Time]. Presence of "locked-in" syndrome features or crossed signs noted.
Clinical Examination Findings
Vitals: [BP/HR/RR/SpO2]. General appearance: [Obtunded/Comatose/Alert]. Cardiovascular: [Regular rhythm/Arrhythmia/Murmurs]. Respiratory: [Clear to auscultation/Signs of respiratory distress]. Skin: [No rashes/Diaphoretic].
Treatment Protocol
Immediate stroke protocol activation. Assessment for IV thrombolysis (tPA) if within window. Urgent neuro-interventional consultation for mechanical thrombectomy. Blood pressure management per protocol (target <180/105 mmHg). Admit to Neuro-ICU for continuous monitoring of airway and neurological status.