Abstract
Hyperdense artery sign is presumed to represent acute thrombus or clot, and is an early indicator of posterior circulation stroke. This sign if detected, in proper clinical scenario can help the clinician to detect the basilar occlusion and to intervene early. We are presenting a case of 30 yr. old female, normotensive, nondiabetic presented with sudden onset focal left sided seizure, central vertigo, diplopia and decreased vision in left eye to emergency department. On examination, ptosis and anisocoria, Left facial nerve palsy. Patient was advised NCCT Head, which showed hyperdense basilar artery , seen retrospectively after MRI.
 
Highlights
Basilar artery occlusion is a subset of posterior circulation strokes
Particular issues relevant to basilar artery occlusion include variable and stuttering symptoms at the onset resulting in delay in diagnosis, uncertain best management and high morbidity and mortality
One of the earliest signs of acute ischemia though with relatively poor sensitivity is hyperdense basilar artery sign which represents the presence of intraluminal thrombus which is a surrogate of arterial obstruction
Summary
Basilar artery occlusion is a subset of posterior circulation strokes. Particular issues relevant to basilar artery occlusion include variable and stuttering symptoms at the onset resulting in delay in diagnosis, uncertain best management and high morbidity and mortality. Hyperdense Basilar Artery- Early Sign of Stroke Basilar artery occlusion is a subset of posterior circulation strokes. Particular issues relevant to basilar artery occlusion include variable and stuttering symptoms at the onset resulting in delay in diagnosis, uncertain best management and high morbidity and mortality.
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