Princess Alexandra Hospital

  • 37 year old lady presented with L hemiparesis GCS 8 due to medullary haemorrhagic CVA. CT shows hypodense pons; tonsillar herniation and ?dense basilar (though flow OK on CTA)
    Areas of weakness identified by examiners:
    • Inability to perform a proper CNS examination
    • Not being able to state a clear GCS
    • Lack of a management plan: - family discussion, prognostication