Case number 26
A 72 year-old woman with the past medical history consistent with hypertension, ischaemic heart disease, and major depressive disorder came to the emergency ward with the chief complaint of fainting. Asking more from the patient, she mentioned that she felt on the coach and was unable to speak for about 30 mins. During this phase, she was alert and conscious about her environment.
Because of her psychiatrist disorder, she has discontinued all her medications for about 3 months and does not know her medication name.

On physical examination, she was alert and oriented to time and place and person. No focal neurologic deficit was detected in neurologic examination.
Her vital signs:
BP 180/100 (both hands)
HR 75
SPO2 95% room air
T 36.8

Her electrocardiogram is shown in the picture.

Brain CT scan showed no specific pathology