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Ruptured Solitary Iliac Artery Aneurysm Presenting as a Seizure Disorder
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Ruptured solitary iliac artery aneurysms are rare. We describe an elderly woman who presented with neurologic findings.
Report of a Case
A 79-year-old African American woman was brought to our hospital because of a brief episode of shaking of her right upper extremity, followed by an approximately 10-minute episode of unresponsiveness while in her physician's office. On regaining consciousness, the patient was alert and had slurred speech. No other abnormality was noted. Her medical history revealed hypertension, Alzheimer dementia, peripheral vascular disease, a left above-knee amputation, and a percutaneous endoscopic gastrostomy tube for feeding. She was a nonsmoker and lived at home with her caregiver.
On examination in our emergency department, the patient was a cachectic, bedridden, elderly woman in no obvious distress. Her temperature was 37.5°C, heart rate was 145 bpm, respiratory rate was 22/min, and blood pressure was 127/83 mm Hg. She was edentulous with dry mucous membranes. Findings of her cardiovascular . . . [Full Text of this Article] Comment
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