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. 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.
