Journal ArticleDOI
Basilar artery occlusion
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
Basilar artery occlusion successfully treated with delayed intravascular intervention and mild hypothermia.
TL;DR: Early recanalization either with thrombolysis or intravascular thrombectomy was shown to significantly improve the outcome of patients with BAO.
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
TL;DR: In this article , the authors showed that 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.
Journal ArticleDOI
Acute basilar artery occlusion: an easily missed uncommon but devastating emergency.
Journal ArticleDOI
Effect of the anastomosis between the posterior inferior cerebellar artery and the superior cerebellar artery on outcomes of acute basilar artery occlusion after endovascular treatment
Weilin Kong,James Chih-Hsin Yang,Maolin Wang,Xianjun Huang,Yang Wang,Jun Luo,Youlin Wu,Guoyong Zeng,Yue Wan,Jiaxing Song,Linyu Li,Jin-feng Hu,Shuai Liu,Weidong Luo,Hongfei Sang,Zhongming Qiu,Fengli Li,Wouter J. Schonewille,Chang Liu,Wenjie Zi +19 more
TL;DR: The PICA-SCA anastomosis is significantly associated with better functional outcomes in patients with acute BAO after EVT, especially in those with middle BAO.
Journal ArticleDOI
Basilar Artery Occlusion. Clinical Evaluation and Contemporary Methods of Treatment
TL;DR: In case the diagnosis is made promptly, ideally with the help of an advanced neuroimaging, intravenous thrombolysis, or catheter-based endovascular treatment can be performed immediately to improve prognosis and reduce mortality.
References
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Journal ArticleDOI
Mechanical Thrombectomy for Acute Ischemic Stroke: Final Results of the Multi MERCI Trial
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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.
TL;DR: The results suggest the Penumbra System allows safe and effective revascularization in patients experiencing ischemic stroke secondary to large vessel occlusive disease who present within 8 hours from symptom onset.
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