A rare case presentation of top of basilar artery syndrome

Authors

  • Tirumalasetty Sriharsha Department of General Medicine, Saveetha Medical College, Chennai, Tamil Nadu, India
  • Sava Nandha Gopal Department of General Medicine, Saveetha Medical College, Chennai, Tamil Nadu, India
  • Arun Kumar A. Department of General Medicine, Saveetha Medical College, Chennai, Tamil Nadu, India
  • Vikrannth V. Department of General Medicine, Saveetha Medical College, Chennai, Tamil Nadu, India
  • Vinod Raghavan Department of General Medicine, Saveetha Medical College, Chennai, Tamil Nadu, India
  • Kannan Rajendran Department of General Medicine, Saveetha Medical College, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20230711

Keywords:

Basilar artery occlusion, Stroke, MRI Brain

Abstract

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.

References

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Published

2023-03-24

Issue

Section

Case Reports