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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.

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Citations
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Journal ArticleDOI

Severe Brain Atrophy Predicts Poor Clinical Outcome After Endovascular Treatment of Acute Basilar Artery Occlusion: An Automated Volumetric Analysis of a Nationwide Registry

TL;DR: In this paper, the authors evaluated brain atrophy automatically from CT images and investigated its impact on outcomes of acute basilar artery occlusion (ABAO) following endovascular treatment (EVT).
Journal ArticleDOI

Actualización del código ictus en urgencias

TL;DR: In this article , a multidisciplinary procedure designed to detect acute ischemic strokes and transfer patients for early reperfusion is presented, based on the Código ictus, which is a procedimiento multidisciplinar diseñado for detecting and trasladar a patients for una terapia de reperfusión temprana.
Journal ArticleDOI

Effect of Gastrointestinal Hemorrhage on Outcome After Endovascular Treatment in Acute Basilar Artery Occlusion

TL;DR: It is concluded that GIH is not uncommon after EVT in patients with acute BAO and is associated with worse functional disability and higher mortality.
Journal ArticleDOI

A Review of Endovascular Treatment for Posterior Circulation Strokes

TL;DR: In this article , the authors reviewed PC-EVTreatment outcomes reported in recent studies and discussed technical considerations for maximizing treatment efficacy according to the etiology of acute posterior circulation stroke.
Journal ArticleDOI

Update on imaging in Code Stroke.

TL;DR: In this paper , a multidisciplinary procedure designed to detect acute ischemic strokes and transfer patients for early reperfusion is presented, which requires multimodal imaging with either CT or MRI.
References
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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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