Türk Beyin Damar Hast Derg. 2021; 27(2): 169-171 | DOI: 10.5505/tbdhd.2020.16362

Davranýþ bozukluðu ile ortaya çýkan baziller tepe sendromu

Zeynep Özözen Ayas¹, Dilcan Kotan^2
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 yazýda 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.

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Top of the basilar syndrome presenting through behavioral disorders

Zeynep Özözen Ayas¹, Dilcan Kotan^2
1Eskiþehir City Hospital, Neurology Clinic, Eskiþehir, Turkey
²Sakarya University Faculty of Medicine, Department of Neurology, Sakarya, Turkey

Top of the basilar syndrome (TOB-S) is defined as the infarction of the rostral brain stem thalamus, cerebellum, temporal and occipital regions of the brain that are supplied by the 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.

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ATIF KOPYALA