Hanson Jonathan E, Inam Syed Hashim Ali, Littlehales Lindsay, Adams Jason, Blom Paul H, Nolte Justin
Neurology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.
Interventional Radiology, Cabell Huntington Hospital, Huntington, USA.
Cureus. 2023 Jun 28;15(6):e41096. doi: 10.7759/cureus.41096. eCollection 2023 Jun.
This is a case report of an 83-year-old female who presented to the emergency department within eight hours of symptom onset. A CT angiogram revealed a distal basilar artery occlusion, as well as a perfusion deficit in the right superior cerebellar artery. Her symptoms fluctuated, and she was started on a heparin drip, but later in the evening her symptoms worsened. A mechanical thrombectomy was performed by interventional radiology. The following morning, most of the patient's deficits had resolved, and, when seen in the clinic several weeks later, she continued to be asymptomatic. This case report highlights the importance of timely diagnosis and intervention in the management of distal basilar artery occlusion.
这是一例83岁女性的病例报告,她在症状出现后8小时内被送往急诊科。CT血管造影显示基底动脉远端闭塞,以及右侧小脑上动脉灌注不足。她的症状波动,开始静脉滴注肝素,但当晚症状加重。介入放射科进行了机械取栓术。第二天早上,患者的大部分功能缺损已得到缓解,几周后在诊所复诊时,她仍无症状。本病例报告强调了在远端基底动脉闭塞管理中及时诊断和干预的重要性。