Top of the basilar syndrome

Case contributed by A.Prof Frank Gaillard

Presentation

Patient woke with virtigo and subsequently (over next hour) devloped cranial nerve symptoms (occular palsies) and decreased level of conciousness.

Patient Data

Age: Elderly
Gender: Male
Modality: CT

The top of the basilar artery is hyperdense. 

CT angiogram

Modality: CT

CTA performed 20 minutes later confirms a filling defect involving the basilar tip and left P1 and SCA origin. The distal PCA fills via the PCOM. 

CT brain Post IV tPA

Modality: CT

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CT brain 24 hours later

Modality: CT

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Case Information

rID: 5148
Case created: 10th Dec 2008
Last edited: 7th Dec 2015
Inclusion in quiz mode: Included

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