From Dizziness and Hearing Loss to Coma: A Case of Basilar Artery Occlusion

Basilar artery (BA) occlusion is a rare and devastating cause of ischemic stroke. Presenting symptoms are frequently non-specific include dizziness, vertigo, nausea, vomiting, headache, and, rarely, hypoacusis. Clinical history appropriate neurological evaluation essential for diagnosis. We present the case 65-year-old female with dysarthria, hearing loss, progressing to right-side hemiparesis decreased level consciousness culminating in coma just few hours. She had an atherothrombotic BA was submitted mechanical thrombectomy full recanalization, resulting rapid improvement first days after treatment almost recovery during following months. Early suspicion posterior circulation stroke from paramount correct diagnosis timely treatment, which has important impact on disability mortality. complete recanalization can result positive outcome disease that would otherwise be extremely severe. All physicians should aware possible patients presenting or sudden hypoacusis meticulously search specific signs dysfunction such as nystagmus, gaze palsies, hemiparesis, consciousness.