Run Time: 3 minutes
Author: Eric Miller M.D.
- A patient presented with acute quadriplegia, dysarthria, and visual changes. This could be indicate a psychiatric issue, a traumatic high spinal cord or brainstem injury, or a basilar artery thrombosis.
- Due to the anatomy of the basilar artery, a thrombosis would affect both sides of the body simultaneously. The mortality rate is 80-90% without treatment, and with treatment of TPA the mortality is 30-40%.
- With a high basilar artery thrombosis, you can still move the eyes, but lose motor function in your body and lower face causing what is know as locked-in syndrome.