Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Delayed treatment of basilar thrombosis in a patient with a basilar aneurysm: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Delayed treatment of basilar thrombosis in a patient with a basilar aneurysm a case report T Fakhouri1 and LD McCullough 2 Address 1The University of Connecticut Medical School 263 Farmington Ave Farmington CT 06001 USA and 2Department of Neurology MC1840 the University of Connecticut Health Center 263 Farmington Ave Farmington CT 06001 USA Email T Fakhouri - TFakhouri@ LD McCullough - lmccullough@ Corresponding author Published 18 November 2008 Received 2 May 2008 _ r-_n Anno J. .IA I lo mri I aA-r 1 - r - Accepted 18 November 2008 Journal of Medical Case Reports 2008 2 353 doi 186 1752-1947-2-353 This article is available from http content 2 1 353 2008 Fakhouri and McCullough licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Acute occlusion of the basilar artery is a neurological emergency that has a high risk of severe disability and mortality. Delayed thrombolysis or endovascular therapy has been performed with some success in patients who present after 3 hours of symptom onset. Here we present the first case of delayed intra-arterial thrombolysis of a basilar artery thrombosis associated with a large saccular aneurysm. Case presentation A 73-year-old Caucasian man with a history of smoking and alcohol abuse presented to the Emergency Department complaining of diplopia and mild slurred speech and who progressed over 12 hours to coma and quadriparesis. He was found to have a large basilar tip aneurysm putting him at high risk for hemorrhage with lytic treatment. Conclusion The treatment options for basilar thrombosis are discussed. Aggressive treatment options should be .
