Presentation

Polysubstance user who was found with lethargy, confusion, and left arm weakness. Glucose was 48 mg/dL. There was no immediate neurologic improvement after IV dextrose and intranasal naloxone. Noncontrast CT of the head, CT angiography of the head and neck, and CT perfusion showed no hemorrhage, large territorial infarction, large vessel occlusion, or perfusion abnormality.

Patient Data

Age: 25 years
Gender: Male
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