A rare case presentation of top of basilar artery syndrome
| Autor: | Tirumalasetty Sriharsha, Sava Nandha Gopal, Arun Kumar A., Vikrannth V., Vinod Raghavan, Kannan Rajendran |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | International Journal of Advances in Medicine. 10:327-329 |
| ISSN: | 2349-3933 2349-3925 |
| DOI: | 10.18203/2349-3933.ijam20230711 |
| Popis: | Top of basilar syndrome occurs due to the thrombotic occlusion of basilar artery. It is very rare in occurrence and constitutes about 1% of all strokes. Clinical manifestations commonly may have the hallmarks of basilar artery occlusion that include dysarthria, visual, oculomotor and behavioural abnormalities with or without significant motor dysfunction and non-specific symptoms like vertigo and headache. Here we report a case of 60year old male who presented with decreased responsiveness and slurring of speech since 2 days and history of vomiting since one day. Neurological examination revealed normal higher mental functions with MMSE score of 28/30, horizontal nystagmus was present, other cranial nerve examination was normal, tone was increased in all the four limbs, Power was 4/5 in all the 4 limbs and Plantar was mute bilaterally. Patient condition deteriorated later and on further evaluation patient was found to have Basilar Artery Occlusion. |
| Databáze: | OpenAIRE |
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