Dwight Alyssa, Fishbein Daniela, Davidow Jonathan, Sawyer Robert N, Tiouririne Mohamed
University of Virginia, 1215 Lee St, Charlottesville, VA, 22903, United States of America.
BMC Neurol. 2024 Dec 4;24(1):471. doi: 10.1186/s12883-024-03927-2.
Basilar artery strokes, which are often challenging to diagnose due to their diverse symptoms and uncommon occurrence, demand timely identification to mitigate severe consequences.
This case report discusses a 28-year-old woman who was admitted 7 months postpartum for suspected status epilepticus. Her initial presentation of convulsive activity and encephalopathy prompted an initial differential diagnosis including toxin-related seizures, encephalitis, and serotonin syndrome among others. A CT angiogram revealed nonocclusive basilar artery thrombosis and hypodensities in the basal ganglia and thalamus. MRI revealed additional strokes in the PCA and SCA territories.
The patient's age and recent history of preeclampsia during pregnancy prompted pertinent discussions regarding pregnancy-related strokes. Most importantly, this case sheds light on the diverse presentations of basilar artery strokes and stresses the urgency of swift identification using imaging to avoid significant morbidity and mortality.
基底动脉卒中由于其症状多样且发生率不高，诊断往往具有挑战性，需要及时识别以减轻严重后果。
本病例报告讨论了一名28岁女性，产后7个月因疑似癫痫持续状态入院。她最初出现惊厥活动和脑病，初步鉴别诊断包括毒素相关性癫痫、脑炎和血清素综合征等。CT血管造影显示基底动脉非闭塞性血栓形成，基底节和丘脑低密度影。MRI显示大脑后动脉和小脑上动脉区域还有其他卒中。
患者的年龄以及孕期近期的子痫前期病史引发了关于妊娠相关性卒中的相关讨论。最重要的是，该病例揭示了基底动脉卒中的多种表现形式，并强调了利用影像学迅速识别以避免严重发病和死亡的紧迫性。
