2014Kerala Medical JournalRequires access

Dense Basilar Artery Sign

Suresh Chandran

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Abstract

A 65-year-old man presented with acute loss of consciousness of two hours duration. Non- contrast CT scan of brain showed “dense basilar artery sign. Basilar artery thrombosis with posterior circulation was suspected and MRI brain with MR angiogram (MRA) was done. MRA showed absence of flow void in basilar artery (Figure 2) and MRI showed diffusion restriction in brainstem and cerebellum (Figure 3), confirming basilar artery thrombosis with posterior circulation stroke. Patient died of extensive brainstem infarct, five hours after admission. Keywords: Dense basilar artery sign, Basilar artery thrombosis, Prognosis

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What this paper is about

A 65-year-old man presented with acute loss of consciousness of two hours duration. Non- contrast CT scan of brain showed “dense basilar artery sign. Basilar artery thrombosis with posterior circulation was suspected and MRI brain with MR angiogram (MRA) was done. MRA showed absence of flow void in basilar artery (Figure 2) and MRI showed diffusion restriction in brainstem and cerebellum (Figure 3), confirming basilar artery thrombosis with posterior circulation stroke. Patient died of extensive brainstem infarct, five hours after admission. Keywords: Dense basilar artery sign, Basilar artery thrombosis, Prognosis

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Available abstract

A 65-year-old man presented with acute loss of consciousness of two hours duration. Non- contrast CT scan of brain showed “dense basilar artery sign. Basilar artery thrombosis with posterior circulation was suspected and MRI brain with MR angiogram (MRA) was done. MRA showed absence of flow void in basilar artery (Figure 2) and MRI showed diffusion restriction in brainstem and cerebellum (Figure 3), confirming basilar artery thrombosis with posterior circulation stroke. Patient died of extensive brainstem infarct, five hours after admission. Keywords: Dense basilar artery sign, Basilar artery thrombosis, Prognosis

Key concepts: Basilar artery, Medicine, Thrombosis, Posterior cerebral artery, Brainstem, Cardiology, Radiology, Magnetic resonance imaging

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