Zusammenfassung
Wir berichten über eine 27 Jahre alte Patientin, die nach der Teilnahme an einem Marathon
ein progressives neurologisches Defizit (Anisokorie, Dysarthrie und Fazialisparese)
entwickelte. Nach endotrachealer Intubation wurde sie unter der Verdachtsdiagnose
einer intrakraniellen Blutung in ein nahe liegendes Klinikum der Maximalversorgung
transportiert. Die umgehend durchgeführte radiologische Bildgebung mittels Computertomografie
und Angiografie zeigte das Bild einer akuten Basilaristhrombose. Die Patientin konnte
zwei Stunden nach Auftreten der Symptomatik erfolgreich lysiert werden und erholte
sich vollständig.
Abstract
We report on a 27-year-old female patient who developed a progressive neurological
disorder (anisocoria, dysarthria and facial nerve paresis) after participating in
a marathon race. She was admitted to a maximum care level hospital after endotracheal
intubation with a provisional diagnosis of intracranial bleeding. Imaging studies
(computed tomography and computed tomographic angiography) revealed basilar artery
occlusion. A successful outcome was achieved following thrombolysis within two hours
of the initial onset of symptoms.
Schlüsselwörter:
Arteria basilaris - Thrombose - Marathon - Lyse
Key words:
basilar artery - thrombosis - marathon - lysis
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Dr. med. Timur Sellmann
Dr. med. Peter Noetges
eMail: timur.sellmann@med.uni-duesseldorf.de
eMail: peter.noetges@helios-kliniken.de
