Türk Beyin Damar Hast Derg. Accepted articles: TBDHD-16362 | DOI: 10.5505/tbdhd.2020.16362   Top of the basilar syndrome presenting through behavioral disorders Zeynep Özözen Ayas1, Dilcan Kotan2 1Department of Neurology, Eskiþehir City Hospital, Eskiþehir, 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. Davranýþ Bozukluðu ile ortaya çýkan baziller tepe sendromu Zeynep Özözen Ayas1, Dilcan Kotan2 1Eskiþehir Þehir Hastanesi, Nöroloji Kliniði, Eskiþehir 2Sakarya Üniversitesi Týp Fakültesi, Nöroloji Anabilim Dalý, Sakarya Baziller tepe sendromu (BTS) distal baziler arter tarafýndan beslenen rostral beyin sapý, talamus, serebellum temporal ve oksipital bölgelerin enfarktüsü ve olarak tanýmlanýr. Görme, okülomotor bozukluklar, bilinç deðiþikliði, konuþma bozukluklarý, nöbetler ve halüsinasyonlar gibi farklý belirtiler görülebilmektedir. Baþlangýç semptomlarý toplumsal çekilme, konuþmada azalma ve uygunsuz gülme tepkileri olan 51 yaþýndaki baziller tepe sendromlu kadýn hasta bildirilmiþtir. Bu tazýda ileri yaþlarda ani davranýþ bozukluklarý ile baþvuran olgularýn yönetiminde nörolojik muayene ve nörogörüntülemenin önemini vurgulamaktadýr. Nadir baþlangýç bulgularý ile ortaya çýkan BTS tanýlý hasta sunulmuþtur. Klinisyenlerin duygudurum, kiþilik deðiþiklikleri ve davranýþ bozukluklarý gibi farklý semptomlar ve bulgularla ortaya çýkabilecek BTS açýsýndan dikkatli olmasý gerekmektedir. Anahtar Kelimeler: Baziller tepe sendromu, davranýþ bozukluðu, bulgular. Corresponding Author: Zeynep Özözen Ayas, Türkiye TOOLS Print Download citation RIS EndNote BibTex Medlars Procite Reference Manager Share with email Share Send email to author Similar articles PubMed Google Scholar