Neuroradiology Experts Opine on Unexpected Hemorrhage

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A patient originally hospitalized for a carotid endarterectomy suffered numerous severe respiratory complications from the procedure, sustaining irreparable nerve damage from a stroke in postoperative recovery. Though his vital signs and probability readings for both strokes and comas were low immediately after the operation, no further check-ups were ordered after the first day of his hospitalized recovery period. On the second day, however, he was noted to have right-sided weakness, deviation of the eyes and paralysis of his entire right side, and was intubated for inability to breathe. The patient quickly had a severe stroke, and a scan revealed that there was a large hemorrhage and enduring brain damage, which his family alleged was caused by his doctor’s failure to recognize and document changes in his vital signs.

Question(s) For Expert Witness

  • 1. Do you routinely treat patients like the one described above?
  • 2. Have you ever had a patient develop the same outcome or complications as this case?

Expert Witness Response E-040909

I am a board certified Neuroradiologist. I work at a comprehensive stroke center, where I interpret thousands of Brain MRI and CT imaging every year. I have seen hundreds of cases of stroke, am familiar with their imaging appearance as well as their proper follow-up and diagnostic procedures. I have been a lecturer on “stroke imaging” for the American College of Radiology, and reviewed many similar cases.

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