Top of the basilar syndrome

Case contributed by A.Prof Frank Gaillard


Patient woke with virtigo and subsequently (over next hour) devloped cranial nerve symptoms (occular palsies) and decreased level of conciousness.

Patient Data

Age: Elderly
Gender: Male

The top of the basilar artery is hyperdense. 


CT angiogram

CTA performed 20 minutes later confirms a filling defect involving the basilar tip and left P1 and SCA origin. The distal PCA fills via the PCOM. 


CT brain Post IV tPA



CT brain 24 hours later


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Case information

rID: 5148
Published: 10th Dec 2008
Last edited: 5th Sep 2019
Inclusion in quiz mode: Included

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