Case 5

Harutomo Hasegawa, Matthew Crocker and Pawan Singh Minhas

in Oxford Case Histories in Neurosurgery

Published on behalf of Oxford University Press

Published in print March 2013 | ISBN: 9780199599837
Published online April 2013 | e-ISBN: 9780191753503 | DOI:

Series: Oxford Case Histories

Case 5

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  • Neurosurgery
  • Trauma and Orthopaedic Surgery
  • Clinical Radiology


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A 27-year-old woman is admitted to hospital after being found collapsed in the bathroom. She had been drinking large quantities of alcohol earlier in the day. Her GCS was 12/15 (E4, V2, M6) at the scene and her pupils were equal and reactive. When she arrived in the emergency department, she was obeying commands but was confused and agitated (GCS E4, V4, M6). There was blood-stained discharge in the left ear. Her blood pressure was 120/60mmHg, her pulse was 85bpm, and oxygen saturation was 100%. Arterial blood gases showed a pH of 7.23, PO2 10.3, PCO2 4.5, bicarbonate 15, and base excess –7. She was intubated for a CT scan (Fig. 5.1).

Chapter.  1669 words.  Illustrated.

Subjects: Neurosurgery ; Trauma and Orthopaedic Surgery ; Clinical Radiology

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