Journal ArticleDOI
Basilar artery occlusion
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TLDR
If BAO is recognised early and confirmed with multimodal CT or MRI, intravenous thrombolysis or endovascular treatment can be undertaken, however, the best treatment approach to improve clinical outcome still needs to be ascertained.Abstract:
The clinical presentation of basilar artery occlusion (BAO) ranges from mild transient symptoms to devastating strokes with high fatality and morbidity. Often, non-specific prodromal symptoms such as vertigo or headaches are indicative of BAO, and are followed by the hallmarks of BAO, including decreased consciousness, quadriparesis, pupillary and oculomotor abnormalities, dysarthria, and dysphagia. When clinical findings suggest an acute brainstem disorder, BAO has to be confirmed or ruled out as a matter of urgency. If BAO is recognised early and confirmed with multimodal CT or MRI, intravenous thrombolysis or endovascular treatment can be undertaken. The goal of thrombolysis is to restore blood flow in the occluded artery and salvage brain tissue; however, the best treatment approach to improve clinical outcome still needs to be ascertained.read more
Citations
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Journal ArticleDOI
Acute Basilar Artery Occlusion: Early Computed Tomography Finding Predicts Catastrophic Outcome.
Chen Fei Ng,Chia Yin Chong +1 more
TL;DR: Hyperdense basilar artery sign on noncontrasted CT brain, although insensitive, can be the only sign before a full‐blown infarction, and has a strong predictor of acute basilar arteries thrombosis in high pretest probability of posterior circulation stroke.
Journal ArticleDOI
A low score on the National Institutes of Health Stroke Scale with eye movement disorder may indicate a good candidate for acute mechanical thrombectomy for posterior circulation large vessel occlusion: illustrative cases
Naoya Yamazaki,Naoto Kimura,Ryosuke Doijiri,Kohei Takikawa,Takuji Sonoda,Kiyotaka Oi,Hiroki Uchida,Michiko Yokosawa,Takayuki Sugawara,Takahiko Kikuchi +9 more
TL;DR: BAO with a low NIHSS score in the presence of eye movement disorder as the main symptom may be a good indication for mechanical thrombectomy (MT), which can be rapidly improved by MT and useful for preventing neurological deterioration in mild cases.
Journal ArticleDOI
Intravascular Mechanical Thrombectomy for a Patient with Systemic Lupus Erythematosus and Acute Cerebral Infarction with Antiphospholipid Syndrome
TL;DR: The case is the first one in the literature that acute ischemic stroke related to SLE vasculitis and antiphospholipid syndrome was treated successfully with endovascular mechanical thrombectomy.
Journal ArticleDOI
Acute basilar artery occlusion with recurrent shivering: A case report.
TL;DR: Patients with acute basilar artery Occlusion need prompt management because they have a higher mortality rate than those with other intracranial artery occlusions and when a patient exhibits neurological deficits accompanied by abrupt shivering for no specific reason, basilar arteries occlusion must be considered.
Journal ArticleDOI
The Relationship Between Admission Blood Pressure and Clinical Outcomes for Acute Basilar Artery Occlusion
Yuhong Cao,Rongzong Li,Jing Guo,Xiao-rong Luo,Jianhui Miao,Jincheng Liu,Bo Zheng,Jie Du,Yuxian Zhang,Shunyu Yang,Li Wang,Wenjie Zi,Qing-Wu Yang,Jun Luo,Guo-Hui Jiang +14 more
TL;DR: Wang et al. as mentioned in this paper investigated the relationship between admission blood pressure and clinical outcomes following acute basilar artery occlusion (BAO) and concluded that high blood pressure was associated with poor stroke outcomes and had a lower probability of successful reperfusion, with an increased risk of mortality.
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Journal ArticleDOI
The penumbra pivotal stroke trial: safety and effectiveness of a new generation of mechanical devices for clot removal in intracranial large vessel occlusive disease.
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