Image of the Week: Acute Coma and Pinpoint Pupils - Clinical Advisor

Image of the Week: Acute Coma and Pinpoint Pupils

Slideshow

  • Slide

A 59-year-old man with a history of hypertension is brought to the emergency department in acute coma. His wife reports that he collapsed this morning at the breakfast table. Examination reveals a Glasgow coma scale of 3, pinpoint pupils reactive to light, and absent horizontal eye movement with head rotation. After resuscitation and stabilization, he is sent for further investigations.

Which of the following findings on this patient’s computed tomography scan is most likely?

Learn more about this case, take the quiz, and join the conversation on Figure 1.

The Image of the Week for June 30 is brought to you in partnership with:

Learn more about this case, and join the conversation on Figure 1.

Submit your diagnosis to see full explanation.

Learn more about this case, and join the conversation on Figure 1.

Next hm-slideshow in Image of the Week