Top of the Basilar Syndrome in a Young Adult Initially Presenting with a Convulsive Seizure

Koushun Matsuo, Chihiro Fujii, Ikuko Fuse, Masayuki Nakajima, Masahiko Takada, Kiyonori Miyata
2011 Internal medicine (Tokyo. 1992)  
A 23-year-old man was admitted to our hospital due to loss of consciousness and a generalized convulsive seizure. He was diagnosed as having primary epilepsy and treated with antiepileptic drugs. Emergency CT scan of the head showed no abnormality. However, MRI scan of the head several days after admission revealed fresh infarctions caused by occlusion of the basilar artery, i.e., "top of the basilar" syndrome. This case indicates the need for precise differential diagnosis of convulsive
more » ... in an emergency situation. It should also be borne in mind that basilar occlusion with 'onset seizure' can occur even in young adults who have no risk factors for stroke. Key words: top of the basilar syndrome, convulsive seizure, stroke in a young adult
doi:10.2169/internalmedicine.50.4801 pmid:21720064 fatcat:afs2qj6yd5bp5g3bho5lp4rn5m