Basilar artery occlusion presenting as refractory status epilepticus

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Basilar artery occlusion presenting as a tonic-clonic seizure.

A 53 year old man with no history of epilepsy was admitted to the emergency department with complaints of vertigo, nausea and a single episode of vomiting. On neurologic examination eye movements were intact, there was no nystagmus or pyramidal signs, and instability of gait was noted. On computed tomography without contrast media a hypodense lesion was observed on the right cerebellum [Figure ...

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Therapeutic basilar artery occlusion for management of medically refractory basilar artery stenosis: case report.

OBJECTIVE AND IMPORTANCE To describe a novel therapeutic approach (endovascular basilar artery occlusion) to a notoriously difficult-to-manage clinical condition (actively symptomatic high-grade basilar artery stenosis) on the basis of assessment of the patient-specific mechanism of disease. CLINICAL PRESENTATION An 81-year-old woman presented with recurrent episodes of brainstem ischemia ref...

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Status epilepticus and refractory status epilepticus management.

Status epilepticus (SE) describes persistent or recurring seizures without a return to baseline mental status and is a common neurologic emergency. SE can occur in the context of epilepsy or may be symptomatic of a wide range of underlying etiologies. The clinician's aim is to rapidly institute care that simultaneously stabilizes the patient medically, identifies and manages any precipitant con...

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Basilar artery occlusion.

Twenty patients with basilar artery occlusion and three patients with bilateral vertebral artery occlusions have been studied. The clinical data at the time of the ictus and the long-term follow-up data have been correlated with the site and extent of the basilar artery occlusion and the type of collateral flow. Patients with hypertension and with coma at the outset have a grave prognosis. The ...

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Hypoglycemia presenting as basilar artery thrombosis.

BACKGROUND AND PURPOSE Following our treatment of a patient with hypoglycemia-induced brain stem symptoms, we examined the possible mechanisms for hypoglycemia presenting as basilar artery disease. CASE DESCRIPTION We describe a patient who had progressive brain stem symptoms due to a diet-induced hypoglycemia initially diagnosed as basilar artery thrombosis. Symptoms ceased immediately after...

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ژورنال

عنوان ژورنال: Journal of Acute Medicine

سال: 2015

ISSN: 2211-5587

DOI: 10.1016/j.jacme.2015.04.002