To cite: Hefton S, Bogush N, Crawford RS, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210274 DESCRIPTION Awoman in her 70s was found lying prone, with an ST-elevation myocardial infarction and in cardiogenic shock. She was obtunded, answering ‘No’ to all questions, and was observed to have anisocoria with a pinpoint right pupil, 5 mm left pupil, dec...
