Top of Basilar Syndrome Presenting With Hyperekplexia Initially Diagnosed as a Convulsive Status Epilepticus

Bourmaf, Mohammad; Katyal, Roohi; Al-Awwad, Ahmad

doi:10.1016/j.jemermed.2020.04.038

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…Rostral BA occlusion has been previously described in cerebrovascular accidents caused by large-vessel disease and atherosclerosis, cardiovascular embolism, cervical and intracranial vertebral artery dissection, or unknown causes [ 8 ]. Often, BA occlusion shares the same cardiovascular risk factors as stroke.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the most frequently registered symptoms also include blurry vision, unilateral limb weakness, dizziness, and headache, other symptoms less frequent are limb sensory deﬁcit, dysarthria, nausea, lethargy, cranial nerve V symptoms, and diplopia, loss of consciousness, dysphagia, and hearing loss [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…The patient received thrombectomy and started on therapeutic anticoagulation, Three months later the patient had continued to improve. His cognition and language were normal [8].…”

Section: Risk Factorsmentioning

confidence: 98%

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Top of the Basilar Syndrome: A Case Report of a Healthy Young Woman and Literature Review

Rivera,

Moreno,

Maldonado

et al. 2023

Cureus

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Top of the basilar syndrome (TBS) is defined as the presence of multiple ischemic lesions on magnetic resonance image (MRI) including more than two territories supplied by branches of the distal portion of the basilar artery, causing symptoms such as dizziness, diplopia, ataxia, and acute cognitive decline that can lead to quadriplegia and death. Diagnosing TBS is challenging because it can mimic other conditions such as thalamic hemorrhages or vertebrobasilar ischemia, and requires advanced imaging. Although the prognosis for these patients is poor, rehabilitation is essential for their recovery. This case describes a healthy 28-year-old woman who presented with headache, vomiting, and tonic-clonic seizures sent to the hospital with a stroke diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Top of the Basilar Syndrome: A Case Report of a Healthy Young Woman and Literature Review

Rivera,

Moreno,

Maldonado

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

Top of basilar syndrome due to vertebral artery dissection: How high-resolution MRI and CD31 analysis of thrombus could help

Wang,

Zhang,

Wang

et al. 2023

International Journal of Surgery Case Reports

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Acute Basilar Artery Occlusion Presenting With Convulsive Movements: A Systematic Review

Zhang

Chen²,

Hao³

et al. 2022

Front. Neurol.

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Background and Purpose: Convulsive seizures related to posterior circulation stroke are considered rare. However, some patients with acute basilar artery occlusion (BAO) can present with convulsive movements. Misdiagnosed as seizures may delay the reperfusion therapy for acute BAO. In this study, we have summarized the clinical features and possible mechanisms of BAO presenting with convulsive movements.Methods: We performed an Institutional Review Board-approved institutional database query from 2015 to 2020 and a literature search of the online database PubMed. Clinical data were collected and analyzed.Results: In total, 14 patients with acute BAO presented with convulsions. There were 10 men and 4 women, with a mean age of 53 (range, 23–77) years. All of these patients had different degrees of impaired consciousness (100.0%, 14/14). Convulsive movements were the initial symptoms in 78.6% (11/14) of patients. Further, 64.3% (9/14) of patients presented with paralysis or cranial nerve abnormalities, and 85.7% (12/14) of patients were treated with reperfusion therapy (thrombolysis, 35.7% [5/14]; endovascular thrombectomy, 64.3% [9/14]). The BAO etiology and mechanism were related to embolism, vessel dissections, and severe stenosis of the right vertebral artery in 57.1% (8/14), 21.4% (3/14), and 7.1% (1/14) of patients, respectively; they were undefined in 14.3% (2/14) of patients. Moreover, 42.9% (6/14) of patients had a 90-day modified Rankin Scale score of 0–2, and the mortality rate was 21.4% (3/14).Conclusions: Acute BAO, especially that related to embolism or vessel dissection, may present with convulsive movements. Acute BAO is a devastating, but treatable disease if diagnosed in time. Considering the possibility of BAO is important when dealing with patients presenting with acute-onset convulsive movements. Prompt diagnosis and reperfusion therapy may help achieve a better prognosis.

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Top of Basilar Syndrome Presenting With Hyperekplexia Initially Diagnosed as a Convulsive Status Epilepticus

Cited by 3 publications

References 13 publications

Top of the Basilar Syndrome: A Case Report of a Healthy Young Woman and Literature Review

Top of the Basilar Syndrome: A Case Report of a Healthy Young Woman and Literature Review

Top of basilar syndrome due to vertebral artery dissection: How high-resolution MRI and CD31 analysis of thrombus could help

Acute Basilar Artery Occlusion Presenting With Convulsive Movements: A Systematic Review

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