Concluded Case

Basilar Artery Thrombus: Young Stroke

New Case. 44 yr ,M, No known diseases, non smoker ,not in the habit of taking ethanol,Presented with acute onset of subjective vertigo with vomiting with unsteadiness of days duration .Admitted at local private medical College and then transferred and as a case of posterior circulation stroke. On exam BP 130/ 80 mmhg . RT homonymous hemianopia. With gait ataxia. Cardiac evaluation - normal. Most of the blood work up including vasculitis screening - ve,waiting for some more bloodwork up. What abnormality in the MRI brain,Diagnosis?

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Concluded answer
Thanks for the answeres. MRI Report. Cerebral parenchyma : I'll defind area of diffusion restriction in their occipital lobe involving cortex & subcortical white matter. Ill defind foci of blooming artifacts with in likely hemorrhagic transformation. Cerebellum -Multiple ll defined patchy area of diffusion restriction in bilateral superior cerebellar and rt inferior cerebellar cortex. Brainstem :Tiny focus of diffusion restriction in the Lt paramedian pons MRA:Origin of both vertebral arteries appears normal.V4segment of B/ L vertebral arteries& proximal part of basilar artery shows optimal luminal narrowing signals- likely filled through posterior communicating arteries. Imp : Basilar artery thrombus. On medical management ,still in the hospital.Already seen by interventional Radiologist.
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Thanks for the answeres. MRI Report. Cerebral parenchyma : I'll defind area of diffusion restriction in their occipital lobe involving cortex & subcortical white matter. Ill defind foci of blooming artifacts with in likely hemorrhagic transformation. Cerebellum -Multiple ll defined patchy area of diffusion restriction in bilateral superior cerebellar and rt inferior cerebellar cortex. Brainstem :Tiny focus of diffusion restriction in the Lt paramedian pons MRA:Origin of both vertebral arteries appears normal.V4segment of B/ L vertebral arteries& proximal part of basilar artery shows optimal luminal narrowing signals- likely filled through posterior communicating arteries. Imp : Basilar artery thrombus. On medical management ,still in the hospital.Already seen by interventional Radiologist.
Haemorrhage in lt parietal region causing with gait problem & hemianopia admit neurosurgeon opinion
Pressure on lt optic track causing rt hemionpia
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