Cas 02 — fragilité et dépendance préexistante

Vignette fictive conservée du cas source. Les actes rapportés décrivent le scénario ; ils ne constituent pas une recommandation.

Got a tough one in bay six. 91-year-old male, sudden left-sided weakness witnessed by care home staff 3 hours ago. Baseline is poor, advanced vascular dementia, mRS 4, needs assist of two for all transfers. Current NIHSS is 18, completely neglected on the left, eyes turned to the right. Non-contrast CT shows loss of insular ribbon on the right. CTA shows a right M1 occlusion. Thrombolysis was withheld given his advanced baseline dependency and family preferences. The family is here now and wants to understand what else can be done for him.