A simple collapse, agitation and pathological crying in a young woman? - Atypical onset of a basilar thrombosis.

J Vasc Interv Neurol

Department of Neurology, Kliniken Südostbayern - Klinikum Traunstein.

Published: November 2014

AI Article Synopsis

  • A 19-year-old girl suddenly experienced collapse and agitation, which usually isn't caused by a serious condition called basilar thrombosis.
  • Doctors used special imaging tests to find the problem and successfully treated it with a procedure to dissolve the blood clot.
  • Thanks to the treatment, the girl recovered quickly and was able to go back to her normal life after a few months.

Article Abstract

Background: A collapse and agitation in a young person comprises many differential diagnoses, but usually does not include a life-threatening basilar thrombosis.

Methods And Results: We report the case of a 19-year old woman who presented mainly with a collapse and agitation. CT and CT-angiography yielded distal basilar thrombosis which was successfully treated by intraarterial thrombolysis. MRI confirmed multiple small ischemic lesions in the vertebrobasilar territory. The patient improved quickly and returned to her normal daily activities of life after a few months.

Conclusions: Posterior circulation ischemia should be included among the possible differential diagnoses of any acute onset of an agitated or confusional state.

Conflicts Of Interest/disclosures: None to declare.

Ethics: Written informed consent of the patient has been obtained.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241400PMC

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