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Acute Basilar Occlusion

Mossop CMM - MedPix (2008)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute Basilar Occlusion

History: The patient is a 63-year-old white male with a history significant for HTN, HLD presenting with a one week history of vertigo, dysarthria, and left lower quadrant visual field deficits associated with nausea and vomiting. He experienced a transient 5-minute episode of vertigo upon standing provoking trip to ER. On his second hospital day, the patient reported worsening of vertigo in conjunction with tinnitus. Over the next two hours, he was noted to to have a progressive decline in mental status resulting in a code being called.

Findings: The patient's imaging and angiography shows an acute occlusion of the basilar artery successfully treated with localized intra-arterial fibrinolysis, angioplasty, and stenting of the basilar artery.

Ddx: 1. Acute Basilar Occlusion 2. Vertebrobasilar Insufficiency 3. Basilar aneurysm

Dxhow: Catheter Angiography

Exam: MS: A/Ox3 Speech fluent, but dysarthric Eyes: Coarse nystagmus noted CN II - Acuity grossly intact w/L homonymous hemianopsia, PERLA, nl optic discs CN III-XII - intact Motor - 5/5 in all areas measured both UE/LE Reflexes - 3+ diffusely, positive Babinski’s bilat Sensory - Decreased vibratory sense b/l LE. Intact LT, PP, cold, and proprioception in b/l UE/LE. Negative Romberg Coordination - Intact FTN, HTS, finger tap Gait: Broad-based

No MeSH data available.


Left vertebral artery injection status post localized intra-arterial fibrinolysis, angioplasty, and stenting of basilar artery. Successful recanalization of basilar artery trunk and apex achieved with modalities mentioned above.
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MPX1354_synpic46747: Left vertebral artery injection status post localized intra-arterial fibrinolysis, angioplasty, and stenting of basilar artery. Successful recanalization of basilar artery trunk and apex achieved with modalities mentioned above.


Acute Basilar Occlusion

Mossop CMM - MedPix (2008)

Left vertebral artery injection status post localized intra-arterial fibrinolysis, angioplasty, and stenting of basilar artery. Successful recanalization of basilar artery trunk and apex achieved with modalities mentioned above.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1354&req=5

MPX1354_synpic46747: Left vertebral artery injection status post localized intra-arterial fibrinolysis, angioplasty, and stenting of basilar artery. Successful recanalization of basilar artery trunk and apex achieved with modalities mentioned above.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute Basilar Occlusion

History: The patient is a 63-year-old white male with a history significant for HTN, HLD presenting with a one week history of vertigo, dysarthria, and left lower quadrant visual field deficits associated with nausea and vomiting. He experienced a transient 5-minute episode of vertigo upon standing provoking trip to ER. On his second hospital day, the patient reported worsening of vertigo in conjunction with tinnitus. Over the next two hours, he was noted to to have a progressive decline in mental status resulting in a code being called.

Findings: The patient's imaging and angiography shows an acute occlusion of the basilar artery successfully treated with localized intra-arterial fibrinolysis, angioplasty, and stenting of the basilar artery.

Ddx: 1. Acute Basilar Occlusion 2. Vertebrobasilar Insufficiency 3. Basilar aneurysm

Dxhow: Catheter Angiography

Exam: MS: A/Ox3 Speech fluent, but dysarthric Eyes: Coarse nystagmus noted CN II - Acuity grossly intact w/L homonymous hemianopsia, PERLA, nl optic discs CN III-XII - intact Motor - 5/5 in all areas measured both UE/LE Reflexes - 3+ diffusely, positive Babinski’s bilat Sensory - Decreased vibratory sense b/l LE. Intact LT, PP, cold, and proprioception in b/l UE/LE. Negative Romberg Coordination - Intact FTN, HTS, finger tap Gait: Broad-based

No MeSH data available.