https://doi.org/10.4081/ecj.2024.12602
From locked-in sensation to acute basilar artery occlusion: a rare case of posterior circulation stroke in a young patient
Submitted: 24 April 2024
Accepted: 13 June 2024
Published: 18 July 2024
Accepted: 13 June 2024
Abstract Views: 369
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We report the case of a young male patient who presented to our emergency department complaining of a transient headache and a feeling of motor impairment in his right lower limb, both of which completely resolved spontaneously. After a few minutes of his arrival, he developed a locked-in sensation with anxiety and agitation, followed by a rapid onset of left facio-brachio-crural hemisyndrome. Contrast-enhanced CT of the brain and neck showed the occlusion of the proximal-intermediate basilar artery. Acute basilar artery occlusion (BAO) is a rare life-threatening stroke that requires prompt diagnosis and appropriate treatment to avoid rapid fatal complications (coma and death). The prognosis is poor, with long-lasting sequelae in the survivors. The diagnosis is often difficult since BAO accounts for only 1% of all strokes, and the prodromal symptoms are often very mild, transient, and non-specific, such as nausea, dizziness, headache, confusion, and vertigo. In the presence of convulsion-like symptoms or an unexplained altered level of consciousness, emergency physicians should always consider BAO in the differential diagnosis.
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How to Cite
Poggiali, E., Morelli, N., Terracciano, C., Caborni, C., Pergolotti, B., Gavioli, P., & Vercelli, A. (2024). From locked-in sensation to acute basilar artery occlusion: a rare case of posterior circulation stroke in a young patient. Emergency Care Journal, 20(3). https://doi.org/10.4081/ecj.2024.12602
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