[Neurological deterioration following a marathon - atypical manifestation of basilar artery occlusion].
We report on a 27-year-old female patient who developed a progressive neurological disorder (anisocoria, dysarthria and facial nerve paresis) after participating in a marathon race. She was admitted to a maximum care level hospital after endotracheal intubation with a provisional diagnosis of intracranial bleeding. Imaging studies (computed tomography and computed tomographic angiography) revealed basilar artery occlusion. A successful outcome was achieved following thrombolysis within two hours of the initial onset of symptoms.
Klinik für Anästhesiologie des Universitätsklinikums Düsseldorf. timur.sellmann@med.uni-duesseldorf.de
Timur
T
Sellmann
Peter
P
Noetges
D000328:Adult; D015875:Anisocoria / Q000209:etiology; D001488:Basilar Artery / Q000000981:diagnostic imaging; D004401:Dysarthria / Q000209:etiology; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology* / Q000534:rehabilitation; D009460:Neurologic Examination; D011859:Radiography; D012420:Running / Q000502:physiology*; D015912:Thrombolytic Therapy; D014715:Vertebrobasilar Insufficiency / Q000150:complications* / Q000503:physiopathology