{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:10:02Z","timestamp":1756282202658,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The incidence of the basilar artery occlusion is relatively low among all strokes. Clinical presentation varies depending on the location of the occlusion. The symptoms include mild dysarthria to coma or sudden death. The initial subtle clinical presentation could lead to misdiagnosis. Psychogenic diagnosis in the differential could make the timely diagnosis more difficult. This case involves a 34-year-old woman presenting with a gradual onset of slurred speech. The initial CT scan of head did not indicate any intracranial pathology, and she was initially treated for an anxiety\/conversion disorder. With progression of the pathology, the patient quickly developed a \u2018locked-in\u2019 syndrome, with preserved high cognitive function and vertical eye movement, but otherwise total loss of motor function. The diagnosis was confirmed with MRI\/MR angiography studies, which indicated thrombosis of the proximal basilar artery. Serological studies did not disclose any relevant risk factors.<\/jats:p>","DOI":"10.1136\/bcr-2012-007875","type":"journal-article","created":{"date-parts":[[2013,3,15]],"date-time":"2013-03-15T10:47:51Z","timestamp":1363344471000},"page":"bcr2012007875","source":"Crossref","is-referenced-by-count":3,"title":["A conversion disorder or a stroke? A proximal basilar artery thrombosis induced \u2018locked-in\u2019 syndrome in a young Caucasian woman"],"prefix":"10.1136","volume":"2013","author":[{"given":"Wang","family":"Li","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ohman","family":"Brandon","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debbie Villarreal","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Petersen","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Texas Tech University Health Sciences Center, Odessa, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,3,15]]},"reference":[{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.20204"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.43.8.1528"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.3","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000202582.29510.6b"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.4","unstructured":"Diedler J Sykora M Hacke W . Stroke\u2014pathophysiology, diagnosis and management. In: Mohr JP Wolf PA Grotta JC Moskowitz MA Mayberg MR von Kummer R , eds. Critical care of the patient with acute stroke. 5th edn. Philadelphia, PA:Elsevier Inc, 2011."},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.5","unstructured":"Wall M . Bradley's neurology in clinical practice. In: Daroff RB Fenichel GM Jankovic J Mazziotta JC , eds. Brainstem syndromes. 6th edn. Philadelphia, PA:Elsevier Inc, 2012."},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.6","first-page":"132","article-title":"Stroke syndromes in young people","volume":"18","author":"Chambers","year":"1981","journal-title":"Clin Exp Neurol"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.7","doi-asserted-by":"publisher","DOI":"10.1177\/088307388600100405"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.8","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp-2012-302420"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.9","first-page":"2119","article-title":"[Thromboembolic events in women treated with hormones. Acute cerebrovascular thrombosis in 2 young women receiving ovulation inhibitors, and experiences of SANZ (Swiss Drug Monitoring Center) 1991\u20131995]","volume":"126","author":"Canova","year":"1996","journal-title":"Schweiz Med Wochenschr"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.10","doi-asserted-by":"publisher","DOI":"10.1007\/s12028-008-9177-5"},{"key":"2025082700332058000_2013.mar14_1.bcr2012007875.11","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.74.12.1621"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:33:29Z","timestamp":1756280009000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,15]]},"references-count":11,"alternative-id":["10.1136\/bcr-2012-007875"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007875","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,3,15]]}}}