Presentation
Altered consciousness
Patient Data
Abnormal areas of T2/ FLAIR hyperintensity with diffusion restriction are seen involving the bilateral occipital lobe, left cerebellar hemisphere, and the brain stem suggestive of acute infarctions.
Abrupt cut off of the basilar artery on non-contrast-enhanced MRA suggestive of acute thrombosis.
Cerebral angiography was performed to aspirate and extract the blood clot. The clot was successfully retrieved and shows revascularization of the basilar artery.
A blood clot in the basilar artery.
Case Discussion
This case demonstrates acute posterior circulation infarction due to basilar artery occlusion, which resolved by endovascular clot retrieval.
Thanks to the interventional radiology team: Trinh Van Thai, Nguyen Ngoc Son, Tran Van Ngoc, Pham Van Long.