ER Physicians Fail To Diagnose Stroke Following Facelift

This case involves a 51-year-old female patient who underwent a facelift. She was discharged from the outpatient surgical facility without issue. However, several hours after her operation, she began to experience neurological symptoms including weakness, eyelid drooping, and inability to walk. She called 911 and was found by EMS to be in hypertensive urgency.

ByWendy Ketner, M.D.

Updated on

ER Physicians Fail To Diagnose Stroke Following Facelift

Case Overview

The patient was brought by ambulance to a local emergency room and a CT scan was ordered stat. The stat CT was canceled however because the patient’s symptoms were attributed to a scopolamine patch. The patient was kept in the emergency room overnight for observation. In the middle of the night, a physician’s assistant became concerned about the patient’s symptoms. The patient then underwent a stat CT scan and further neurological imaging which revealed an embolic cerebral vascular accident. An expert neurologist with specific expertise in vascular disease was sought to opine on managing a facelift patient who presents with postoperative neurologic sequelae.

About the author

Wendy Ketner, M.D.

Wendy Ketner, M.D.

Dr. Wendy Ketner is a distinguished medical professional with a comprehensive background in surgery and medical research. Currently serving as the Senior Vice President of Medical Affairs at the Expert Institute, she plays a pivotal role in overseeing the organization's most important client relationships. Her extensive surgical training was completed at Mount Sinai Beth Israel, where she gained hands-on experience in various general surgery procedures, including hernia repairs, cholecystectomies, appendectomies, mastectomies for breast cancer, breast reconstruction, surgical oncology, vascular surgery, and colorectal surgery. Dr. Ketner also provided care in the surgical intensive care unit, further enhancing her clinical expertise.

Her research interests have focused on post-mastectomy reconstruction, surgical treatment of gastric cancer, including co-authoring a textbook chapter on the subject, and research on the percutaneous delivery of stem cells following myocardial infarction. Dr. Ketner's educational background includes a Bachelor's degree from Yale University in Latin American Studies and a Doctor of Medicine (M.D.) from SUNY Downstate College of Medicine. Additionally, she contributes her medical expertise as a member of the Board of Advisors for Opollo Technologies, a fintech healthcare AI company. At Expert Institute, her role involves leveraging her medical knowledge to provide insights into legal cases, underscoring her unique blend of medical and legal acumen.

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