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A 50-Year-Old Woman With a History of Hypertension and Tobacco Use Presenting With Hypoxia

Hangyul M. Chung-esaki, MD; Sara Nikravan, MD
Author and Funding Information

Dr Chung-esaki is currently at Queen’s Medical Center (Honolulu, HI).

Stanford University Hospital and Clinics, Palo Alto, CA

CORRESPONDENCE TO: Sara Nikravan, MD, Stanford University Hospital and Clinics, 300 Pasteur Dr, Room H3583, MC 5640, Palo Alto, CA 94305


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(3):e73-e76. doi:10.1016/j.chest.2015.12.045
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Extract

A 50-year-old woman with a history of hypertension and tobacco use was brought in by ambulance after sudden loss of consciousness with persistent coma. She was intubated in the field for airway protection and was profoundly hypertensive on presentation to the emergency department. On arrival, she underwent CT imaging of the brain, which revealed a Hunt and Hess grade 5, Fisher grade 3 subarachnoid hemorrhage (SAH) (Fig 1), with a 5-mm anterior communicating artery aneurysm (Fig 2).

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