Basilar thrombosis is a potentially fatal event, whose traumatic etiology has been repeatedly stated. Here we discuss about a case of 19 years girl who had basilar artery thrombosis secondary to road traffic accident
A 19 years aged girl presented to our Emergency department with alleged history of road traffic accident 4 wheeler vs 4 wheeler at around 2.30pm on 12/06/2022 near Dindivanam, she was immediately taken to Villupuram Government Hospital with GCS OF 15/15. Initially stabilized there and imaging done there included CT brain, CT whole spine and CT abdomen which were reported as normal study. She was hemodynamically stable with a GCS of 15/15 and was discharged.
At 2 pm on 13/06/2022 (the next day), she suddenly developed left upper and lower limb weakness for which she was initially shifted to nearby hospital, where she was evaluated and was found to be drowsy and disoriented. A Neurologist assessed the patient and had advised to shift to a higher centre for further management, hence she was shifted to our hospital for further management.
Patient was afebrile, decreased response, not obeying commands
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Dr. Mugundan. P.T 1st year Emergency Medicine Resident Department of Emergency Medicine