Clinical History
We report a case of a 91-year-old male with paraparesis of the left half of the body due to a right middle cerebral artery territory stroke that occurred 5 years ago. The patient was in a debilitating state and had been experiencing significant health challenges. He complained of a choking episode during feeding while in the recumbent position. Subsequently, he experienced severe symptoms, including tachypnea, dry cough, tachycardia, and an inability to speak. On physical examination, his respiratory rate was notably high at 35 breaths per minute. The rest of his vital signs were stable, although his blood pressure was mildly elevated at 150/90 mm Hg. Despite these issues, there were no other immediate signs of distress.