A Case Report Of Cerebral Infarction After Interventional Embolization Of Basilar Tip Aneurysms

Introduction: Top of the basilar syndrome (TOBS) can lead to visual, oculomotor and behavioral abnormalities and is mainly caused by cerebral embolism, cerebral thrombosis or mycotic embolism. Presentation of case: A patient with ruptured wide-necked basilar tip aneurysms (BIAs) received double catheter technology and stent-assisted embolization therapy. Several neurological symptoms such as conscious disturbance, eye movement disorder and limb dysfunction were found 2.5 hours after embolization and the diagnosis was TOBS. Treatments of anticoagulation combining antiplatelet was given. At last, most symptoms disappeared except mild ataxia at the right limbs when discharged from hospital. Conclusion: TOBS is one of severe complications of stent-assisted embolization for ruptured BIAs. Early recognition and treatment could reduce the mortality and morbidity.