title: A simple collapse, agitation and pathological crying in a young woman? - Atypical onset of a basilar thrombosis.
abstract: BACKGROUND
  A collapse and agitation in a young person comprises many differential diagnoses, but usually does not include a life-threatening basilar thrombosis.
  
  
  RESULTS
  We report the case of a 19-year old woman who presented mainly with a collapse and agitation. CT and CT-angiography yielded distal basilar thrombosis which was successfully treated by intraarterial thrombolysis. MRI confirmed multiple small ischemic lesions in the vertebrobasilar territory. The patient improved quickly and returned to her normal daily activities of life after a few months.
  
  
  CONCLUSIONS
  Posterior circulation ischemia should be included among the possible differential diagnoses of any acute onset of an agitated or confusional state.
  None to declare.
  
  
  METHODS
  Written informed consent of the patient has been obtained.
authors.affiliation: Department of Neurology, Kliniken Südostbayern - Klinikum Traunstein ; Department of Psychiatry and Psychotherapy, Technische Universität München.
authors.forename: Thorleif
authors.initials: T
authors.lastname: Etgen
authors.affiliation: Department of Neurology, Kliniken Südostbayern - Klinikum Traunstein.
authors.forename: Dragana
authors.initials: D
authors.lastname: Milankovic-Eberl
authors.affiliation: Department of Neurology, Kliniken Südostbayern - Klinikum Traunstein.
authors.forename: Georg
authors.initials: G
authors.lastname: Rieder
keywords: agitation; basilar thrombosis; collapse; stroke; thrombolysis