Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: s/p fall after having witnessed seizure activity. while the newspaper fell to ground & remained "out" for approx. 5 min. per pts father. major surgical or invasive procedure: : suboccipital craniectomy and resection for decompression history of present illness: s/p fall after having witnessed seizure activity. while the newspaper fell to ground & remained "out" for approx.5 min. per pts father. past medical history: clonic seizure disorder chronic low back pain s/p surgery r ankle surgery r rotator cuff repair cholecystectomy social history: lives with parents in etoh socially smokes ppd since y/o family history: sister have seizures since childhood physical exam: on admission: t: 98 bp: 165/ 77 hr: 99 r 16 o2sats 95% gen: ill appearing. intubated and sedated heent: pupils: 3.0mm bil sluggish eoms sedated; unable to assess neck: supple. in rigid cervical collar lungs: ett secure. cta bilaterally. cardiac: rrr. s1/s2. abd: soft, nt, bs+ x4 quads extrem: warm and well-perfused. neuro: mental status: sedated. gcs 7v affect. orientation: unable to assess motor: d b t fe ff ip q at g withdraws to pain bil. lower extremities and in right upper extremity. no movement lue to deep pain/pinprick no clonus toes downgoing bilaterally rectal exam normal sphincter control on discharge: patient expired pertinent results: labs on admission: 05:20pm blood wbc-37.4*# rbc-4.43* hgb-12.6* hct-38.1* mcv-86 mch-28.3 mchc-33.0 rdw-14.9 plt ct-588* 05:20pm blood neuts-87* bands-4 lymphs-3* monos-4 eos-0 baso-0 atyps-0 metas-2* myelos-0 05:20pm blood pt-13.0 ptt-24.4 inr(pt)-1.1 05:20pm blood glucose-183* urean-16 creat-1.0 na-138 k-4.9 cl-102 hco3-20* angap-21* 05:20pm blood alt-41* ast-69* ld(ldh)-342* ck(cpk)-291* alkphos-141* totbili-0.2 05:20pm blood calcium-9.7 phos-2.9 mg-1.9 labs on discharge: 03:00am blood wbc-21.1* rbc-3.35* hgb-9.6* hct-28.8* mcv-86 mch-28.6 mchc-33.4 rdw-15.3 plt ct-351 03:00am blood plt ct-351 03:00am blood glucose-112* urean-8 creat-0.9 na-140 k-4.1 cl-108 hco3-26 angap-10 03:00am blood alt-38 ast-56* ld(ldh)-254* alkphos-105 amylase-29 totbili-0.4 03:00am blood lipase-15 03:00am blood albumin-2.9* calcium-8.4 phos-2.8 mg-2.1 03:00am blood phenyto-8.6* 12:37pm blood type-art po2-163* pco2-48* ph-7.39 caltco2-30 base xs-3 xxxxxxxxxxxxxradiologicalxxxxxxxx ct(head): findings: there is no evidence of intra- or extra-axial hemorrhage, shift of normally midline structures, edema, mass effect or acute infarct. there is a midline frontal subgaleal hematoma noted. the paranasal sinuses demonstrate diffuse sinus thickening in the ethmoid and bilateral maxillary sinuses. the mastoid air cells are clear. c1 fracture will be detailed in the accompanying cervical spine ct report. cta(head: impression: 1. discontinuity of the right vertebral artery at the level of the c1 burst fracture, highly suspicious for acute dissection. no evidence for active extravasation, pseudoaneurysm or associated hematoma. 2. hypoplastic left vertebral artery, with no definite injury; the basilar artery opacifies to its summit. 3. normal-appearing carotid arteries bilaterally without full evaluation of the circle of . 4. known fractures at c1 and anterior distraction at c6-c7 with associated soft tissue abnormality, as previously characterized on dedicated cervical spine ct. ct(head): impression: new extensive, virtually holocerebellar infarction with associated severe cytotoxic edema extending into the cerebellar peduncles and dorsal brainstem. there is resultant tonsillar and upward transtentorial herniation, with 4th ventricular effacement and ventricular enlargement consistent with acute obstructive hydrocephalus. these findings are all new since the study performed the evening before. mri/a(head): **preliminary report* pfi: massive acute infarction involving the cerebellum, medulla, posterolateral pons, posterolateral midbrain, and small foci in the right occipital lobe. slightly decreased mass effect, status post suboccipital craniectomy. resolution of lateral and third ventricular dilatation, status post ventriculostomy. right vertebral dissection. left vertebral artery is hypoplastic. diminished posterior cerebellar artery flow, likely related to posterior fossa edema. mildly diminished flow in the anterior and middle cerebral arteries, likely due to hemodynamic factors and technical limitations. ct c-spine(): findings: there is underlying ankylosing spondylitis. there is a burst fracture of c1 involving the bilateral anterior and posterior transverse processes ( type). a large epidural hematoma extends in the ventral canal. there is marked asymmetric widening and distraction at c6-7 measuring 1.7 cm anteriorly and 9 mm posteriorly. there is associated cord compression at this level. spinal rods and screws transfix c5 through t2. the paravertebral and prevertebral soft tissues cannot be entirely assessed to endotracheal intubation. mri c-spine (): impression: 1. acute fracture through the anterior bridging osteophyte, ossified all, and disc at c6-7, with severe canal narrowing at this level; however, no evidence of cord contusion or epidural hematoma. 2. poor demonstration of the known c1 burst fracture, better seen on concurrent ct. no evidence of cord contusion or compression at the c1-c2 level. ct (chest/abdomen/pelvis): impression: 1. there is a 1.9 cm hyperdense fluid collection measuring 62 hounsfield units, which may represent prominent matted lymph nodes or hematoma, unusual as an isolated injury. 2. bibasilar aspiration or atelectesis. brief hospital course: patient was admitted to emergency department after sustaining a fall after witnessed seizure activity. per family report, he was the newspaper, and subsequently fell to the ground, and remained "out" for approximately 5minutes. he was initially stabilized at before being transferred to . he was identified to have cervical spine fracture and instability, and it was thought he would be better managed by for his injuries. he was intubated at the osh for airway protection and transferred to for management. on arrival, his work up included a head ct that was unremarkable. his c-spine ct revealed a c1 burst fracture as well as a c7 hyperflexion fracture. his cta revealed a possible right vertebral artery dissection and a hypotrophic left vertebral artery. anticoagulation was not initiated because the chest ct had revealed a mediastinal hematoma. he was admitted to the icu on for further monitoring and management. the patient's neurologic examination deteriorated subsequently. a ct scan of his head was emergently obtained and revealed hydrocephalus. a right evd was emergently placed and the patient rushed to the or for a posterior fossa decompression. while the surgery was uneventful, post operative ct and mri scans revealed hyperintensity of the brain stem, suggestive of ischemia/infraction. conversations took place with the patient's family, and they decided to withdraw care given his poor prognosis and examination. he was extubated and expired at 14:09 on medications on admission: depakote 500mg tid discharge medications: expired discharge disposition: expired discharge diagnosis: cerebellar/brain stem infarct discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours intravascular imaging of intrathoracic vessels other craniotomy diagnoses: obstructive hydrocephalus compression of brain cerebral edema epilepsy, unspecified, without mention of intractable epilepsy cerebral artery occlusion, unspecified with cerebral infarction other and unspecified alcohol dependence, unspecified 

Answer: The patient is high likely exposed to