%0 Journal Article
%T Large Basilar Trunk Aneurysm Discovered Incidentally in a Patient with Ischaemic Stroke: Case Report
%A Wendlassida Martin Nacanabo
%A Yannick Laurent Tchenadoyo Bayala
%A Abdoul Nassir Porgo
%A Emilie Agathe Carama
%A Bademain Jean Fabrice Ido
%A Tary¨¨tba Andr¨¦ Arthur Seghda
%A Wendlassida L¨¦a Francoise Sawadogo
%A Sidy Mahamoud Guebre
%A &nbsp
%A Abdoul-Aziz
%A Christian Napon
%A Andr¨¦ K. Samadoulougou
%J World Journal of Cardiovascular Diseases
%P 811-817
%@ 2164-5337
%D 2023
%I Scientific Research Publishing
%R 10.4236/wjcd.2023.1311069
%X <strong>Summary:</strong> <span><span><span style=\"font-family:;\" \"=\"\">Many anomalies can be observed in the basilar trunk, such as aneurysms.
Basilar trunk aneurysms are rare with a low reported prevalence. In this study,
we describe a case of ischaemic stroke revealed by a basilar trunk aneurysm associated
with venous thromboembolic disease. The patient was 60 years old and had no
specific pathological history. She was seen for a sudden onset of right
hemiplegia associated with dysarthria that had been present for 12 hours. The
physical examination revealed a pyramidal syndrome and an altered general
condition. An emergency cerebral computed tomography (CT) scan showed evidence
of a cerebrovascular accident associated with a saccular aneurysm. We adopted
the diagnosis of a deep left sylvian stroke associated with a superficial right
sylvian stroke in the setting of an incidentally discovered basilar trunk
aneurysm. On the 9<sup>¨¨me</sup> day of hospitalisation, the patient
experienced sudden onset of respiratory distress in conjunction with a warm,
painful swelling of the right leg. TTE revealed signs of pulmonary embolism,
with thrombi in the inferior vena cava and right atrium. Pulmonary embolism was
highly probable, with a modified Geneva score of 15. We adopted the diagnosis
of DVA complicated by pulmonary embolism in the setting of a basilar trunk
aneurysm. The patient was transferred to the cardiology department, where she
received oxygen therapy and thrombolysis with streptokinase. The immediate
outcome 6 hours later was the sudden death of the patient due to the onset of
cardiogenic shock.</span></span></span>
%K Aneurysm
%K Ischemic Stroke
%K Thrombolysis
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129495