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Acute basilar artery occlusion with recurrent shivering: A case report
Chan-Hyuk Lee1,2, Seung-Ho Jeon1, Sang Yeon Kim1
1Department of Neurology and Research, Institute of Clinical Medicine of Jeonbuk National University.
Medicine
|September 29, 2020
Summary
Shivering can be an early sign of basilar artery occlusion, a serious stroke. Prompt diagnosis and intervention, such as thrombectomy, are crucial for better outcomes in stroke patients.
Area of Science:
- Neurology
- Vascular Neurology
- Stroke Medicine
Background:
- Shivering is a physiological response to maintain body temperature.
- Hypothalamic dysfunction from brain injury or tumors can disrupt thermoregulation.
- Shivering as a symptom of ischemic stroke has not been previously reported.
Observation:
- A patient presented with coarse shivering and dysarthria.
- Severe stenosis of the basilar artery was identified.
- The patient experienced recurrent shivering episodes.
Findings:
- Brain CT angiography revealed complete basilar artery occlusion.
- Cerebral hypoperfusion was diagnosed in the affected area.
- Thrombectomy via transfemoral cerebral angiography (TFCA) rapidly resolved neurological deficits, including shivering.
Implications:
- Acute basilar artery occlusion carries a high mortality rate.
- Unexplained shivering accompanying neurological deficits warrants consideration of basilar artery occlusion.
- Early recognition and intervention are critical for patients with basilar artery occlusion.
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