Leiomyoma as a cause of thrombotic events in different vascular territories

Arterial and venous thrombotic events are common and often life-threatening, as their rapid diagnosis is challenging. The case of a sequential venous and arterial thrombotic events is presented here. A woman in her early 50s, with dyslipidaemia and obesity, with complaints of dyspnoea on exertion for a week, presented to the emergency department (ED) with drowsiness, dizziness and blurred vision within only a few hours of evolution. On initial assessment, she was tachypneic, hypertensive, with fluctuating state of awareness, limitation of right eye adduction and anisocoria. During her stay in the ED, she had a sudden decrease in her state of consciousness. Due to the suspicion of stroke, she underwent an angio-CT that confirmed the presence of a thrombus at the top of the basilar artery, without an image of established infarction. She underwent thrombectomy with complete reversal of the neurological deficits (figure 1A).