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
Endovascular treatment of acute basilar artery occlusion in patients with and without atrial fibrillation: results from the ATTENTION registry
Shuo Feng,Tong Li,Yingchun Wu,Hongchao Shi,Yong-chang Liu,Bo Xu,Chenghua Xu,Fengling Qu,Rui Li,Chunrong Tao,Wenshan Sun,Wei Hu,Xinfeng Liu +12 more
TL;DR: Wang et al. as mentioned in this paper conducted a multicenter, nationwide, retrospective analysis to investigate how the presence of AF affects treatment allocation for acute basilar artery occlusion (BAO) patients.
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Film quiz: Loss of consciousness in a young gentleman
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Book ChapterDOI
Accidents ischémiques sous-tentoriels graves
N. Bruder,L. Velly +1 more
TL;DR: En dehors des tableaux cliniques graves d’emblee, certains patients sans defaillance mais a haut risque d”aggravation justifi ent une surveillance en reanimation pendant 48 a 72 heures.
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Safety and efficacy of mechanical thrombectomy with Solitaire in patients with acute ischemic stroke
TL;DR: Mechanical clot retrieval with Solitaire appears to be safe and effective in acutely occluded large intracranial vessels in patients with AIS.
Book ChapterDOI
Management of Stroke in a Non-neurointensive Care Unit
I. Conrick-Martin,Aine Merwick +1 more
TL;DR: If a patient has a new neurological deficit for less than 4.5 hours they may be a candidate for thrombolysis.
References
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Journal ArticleDOI
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Journal ArticleDOI
Mechanical Thrombectomy for Acute Ischemic Stroke: Final Results of the Multi MERCI Trial
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TL;DR: Higher rates of recanalization were associated with a newer generation thrombectomy device compared with first-generation devices, but these differences did not achieve statistical significance.
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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