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Reveal the Solution reveal the solution


62 yo female with h/o breast cancer and pulmonary nodule. Following uncomplicated two pass FNA, the patient becomes non-responsive and begins to have extremity twitching. She has received 1 mg midazolam and 50 mcg fentanyl.

CT Images

Axial fluoroscopic images during lung biopsy


Reveal the Solution reveal the solution

  1. True or False: There is no explanation for the patients symptoms on the imaging.
  2. The patient's symptoms are most likely related to:
    Idiosyncratic reaction to conscious sedation
    Needle positioning
    Underlying seizure disorder
  3. The most likely diagnosis is:


Last updated: 1/17/2018
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