Basilar Thrombosis

A 78 y/o woman with a history of a TIA (left arm and leg weakness) presented with dysarthria, nausea, vomiting. OK in ER, but shortly became unresponsive. In retrospect daughter states patient was talking on the phone earlier that morning and complained of sudden tinnitus and vertigo, that apparently cleared until the nausea,etc. came on an hour or so later. I saw her in the ICU a few hours after admission, when she was already stuporous. Diagnosis made at bedside (not hard...) and she was made a DNR. The MRI was obtained to "document" what was clinically obvious. She died 2 days later, peacefully, not intubated.

Dr. Rivner will hopefully post the MRI pics. Not the best quality as I used my Sony Clie to take pics of the MRI that was on the computer screen. I thought the MRI was fascinating!

Basilar Thrombosis

by

Mark Loomis, M.D.