A 62-year-old man is brought to the emergency department 40 minutes after his wife noticed that the right side of his face was drooping during breakfast. He had difficulty putting on his shirt and shoes before coming to the hospital. He has type 2 diabetes mellitus, hypertension, and hypercholesterolemia. His medications are metformin, enalapril, and atorvastatin. He has smoked one pack of cigarettes daily for 35 years. a CT scan shows signs of ischemia. Which of the following areas is most likely to be affected first by ischemic damage in this patient?

Question

Quizplus · Accepted Answer

Eductional Objective: Global cerebral ischemia is typically precipitated by systemic hypotension (eg, cardiac arrest).  The cells most susceptible to ischemia are the CA1 pyramidal neurons of the hippocampus.  Other areas of the brain that are damaged early in the course of global cerebral ischemia include the cerebellar Purkinje cells and the pyramidal neurons of the neocortex

A 62-Year-Old Man Is Brought to the Emergency Department 40