Top of the basilar syndrome presenting through behavioral disorders

Top of the basilar syndrome presenting through behavioral disorders [T�rk Beyin Damar Hast Derg]

T�rk Beyin Damar Hast Derg. Accepted articles: TBDHD-16362

Top of the basilar syndrome presenting through behavioral disorders

Zeynep �z�zen Ayas¹, Dilcan Kotan²
¹Department of Neurology, Eski�ehir City Hospital, Eski�ehir, Turkey
²Department of Neurology, Sakarya University Medical Faculty, Sakarya, Turkey

Top of the basilar syndrome (TOB-S) is defined as the infarction of rostral brain stem and thalamus, cerebellum, and temporal and occipital regions that are supplied by distal basilar artery. Different symptoms can be seen such as visual, oculomotor disturbances, altered consciousness, speech disorders, seizure, and hallucinations. In this article, we report that a 51-year-old female patient whose initial symptoms were social withdrawal, decreased of speech and inappropiate laugh affects and diagnosed with top of the basilar syndrome. This report emphasize that the importance of neurological examination and neuroimaging in the management of cases presenting with sudden behavioral disorders at older age. We report a patient with TOB-S which a rare presentation. Clinicians must be alert to exist TOB-S which may occurs with different symptoms and signs like as changes in mood, personality and behavioral disorders.

Keywords: Top of the basilar syndrome, behavioral disorder, symptoms.

Davran�� Bozuklu�u ile ortaya ��kan baziller tepe sendromu

Zeynep �z�zen Ayas¹, Dilcan Kotan²
¹Eski�ehir �ehir Hastanesi, N�roloji Klini�i, Eski�ehir
²Sakarya �niversitesi T�p Fak�ltesi, N�roloji Anabilim Dal�, Sakarya

Baziller tepe sendromu (BTS) distal baziler arter taraf�ndan beslenen rostral beyin sap�, talamus, serebellum temporal ve oksipital b�lgelerin enfarkt�s� ve olarak tan�mlan�r. G�rme, ok�lomotor bozukluklar, bilin� de�i�ikli�i, konu�ma bozukluklar�, n�betler ve hal�sinasyonlar gibi farkl� belirtiler g�r�lebilmektedir. Ba�lang�� semptomlar� toplumsal �ekilme, konu�mada azalma ve uygunsuz g�lme tepkileri olan 51 ya��ndaki baziller tepe sendromlu kad�n hasta bildirilmi�tir. Bu taz�da ileri ya�larda ani davran�� bozukluklar� ile ba�vuran olgular�n y�netiminde n�rolojik muayene ve n�rog�r�nt�lemenin �nemini vurgulamaktad�r. Nadir ba�lang�� bulgular� ile ortaya ��kan BTS tan�l� hasta sunulmu�tur. Klinisyenlerin duygudurum, ki�ilik de�i�iklikleri ve davran�� bozukluklar� gibi farkl� semptomlar ve bulgularla ortaya ��kabilecek BTS a��s�ndan dikkatli olmas� gerekmektedir.

Anahtar Kelimeler: Baziller tepe sendromu, davran�� bozuklu�u, bulgular.

Corresponding Author: Zeynep �z�zen Ayas, T�rkiye

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