Passed out while doing the dishes. Evacuated by ambulance. On arrival to the ER, her eyes were open and she reacted to pain and to her name being called; flaccid tone, pupils equal but constricted. A CT scan was done and reported immediately. Once a thrombus was identified in the basilar artery, she was intubated under propofol and rocuronium bromide and started on tPA treatment, which was maintained along with propofol, until she underwent successful thrombectomy.

Post-procedure CT (not available): a new small parasagittal right occipital infarct appeared and the left pontine infarct now crossed the midline, most probably due to cytotoxic edema.