Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman
Abstract Background Basilar artery strokes, which are often challenging to diagnose due to their diverse symptoms and uncommon occurrence, demand timely identification to mitigate severe consequences. Case presentation This case report discusses a 28-year-old woman who was admitted 7 months postpart...
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| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-024-03927-2 |
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| author | Alyssa Dwight Daniela Fishbein Jonathan Davidow Robert N. Sawyer Mohamed Tiouririne |
| author_facet | Alyssa Dwight Daniela Fishbein Jonathan Davidow Robert N. Sawyer Mohamed Tiouririne |
| author_sort | Alyssa Dwight |
| collection | DOAJ |
| description | Abstract Background Basilar artery strokes, which are often challenging to diagnose due to their diverse symptoms and uncommon occurrence, demand timely identification to mitigate severe consequences. Case presentation 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. Conclusions 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. |
| format | Article |
| id | doaj-art-b2bc47089f4741a3bacfcfdad416365c |
| institution | OA Journals |
| issn | 1471-2377 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj-art-b2bc47089f4741a3bacfcfdad416365c2025-08-20T02:20:45ZengBMCBMC Neurology1471-23772024-12-012411810.1186/s12883-024-03927-2Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum womanAlyssa Dwight0Daniela Fishbein1Jonathan Davidow2Robert N. Sawyer3Mohamed Tiouririne4University of VirginiaUniversity of VirginiaUniversity of VirginiaUniversity of VirginiaUniversity of VirginiaAbstract Background Basilar artery strokes, which are often challenging to diagnose due to their diverse symptoms and uncommon occurrence, demand timely identification to mitigate severe consequences. Case presentation 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. Conclusions 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.https://doi.org/10.1186/s12883-024-03927-2Basilar artery strokeHyperdense basilar artery signStroke in the youngPregnancy-associated strokePreeclampsia |
| spellingShingle | Alyssa Dwight Daniela Fishbein Jonathan Davidow Robert N. Sawyer Mohamed Tiouririne Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman BMC Neurology Basilar artery stroke Hyperdense basilar artery sign Stroke in the young Pregnancy-associated stroke Preeclampsia |
| title | Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman |
| title_full | Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman |
| title_fullStr | Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman |
| title_full_unstemmed | Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman |
| title_short | Delayed diagnosis of basilar artery occlusion in a 28-year-old postpartum woman |
| title_sort | delayed diagnosis of basilar artery occlusion in a 28 year old postpartum woman |
| topic | Basilar artery stroke Hyperdense basilar artery sign Stroke in the young Pregnancy-associated stroke Preeclampsia |
| url | https://doi.org/10.1186/s12883-024-03927-2 |
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