el Murpharino
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Yesterday I brought in an unresponsive patient who's mother stated she had c/o headaches "all day" - of course I thought stroke....the pupils were equal and reactive, there was no fixed deviation of the eyes either way, and no facial droop. The nurse at the hospital told me this "didn't matter" - which I was sort of taken aback by, but still thought stroke. I understand that there are cranial nerves (in addition to other functions) that control eye movement and facial muscle function...but could a stroke pt. present with normal facial and eye function in presence of a CVA? If so, I've never seen it in my 6 years of EMS, which I s'pose seems weird to me. I await your response...........(blood sugar was 114, for those who care to know). Pt was ALS'd appropirately, I'm just curious as to the eye/facial presentation as it relates to CVA's, not the treatment of the pt. Thanks.
MURPH
MURPH
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