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
Posterior Circulation ASPECTS on CT Angiography Predicts Futile Recanalization of Endovascular Thrombectomy for Acute Basilar Artery Occlusion
TL;DR: It is suggested that pc-ASPECTS and OPT are independent predictors of futile recanalization after EVT in patients with BAO, and the lower pc-aspECTS score and longer puncture time will have a poor clinical outcome.
Journal ArticleDOI
Vertebral and Basilar Artery Dissection in a Patient With Alport Syndrome
TL;DR: Basilar artery occlusion (BAO) is a rare cause of stroke associated with significant morbidity and mortality, but may be caused by vertebral artery dissection as discussed by the authors .
Journal ArticleDOI
Endovascular treatment for distal basilar artery occlusion stroke
Jiaxing Song,Zhou Yu,Jian Wang,Xiao-rong Luo,J. Du,Zhengxuan Tian,Shunyu Yang,Weihua Xie,Yuqi Peng,Jin-hua Mu,Wenjie Zi,Shuchun Huang,Mei Yang +12 more
TL;DR: This study suggests that, compared with SMT, EVT is technically feasible and safe for patients with distal BAO.
Posted ContentDOI
Collateral Status Combined with Preprocedural SII predicts the risk of futile recanalization in acute BAO patients: a randomized controlled trial
TL;DR: In this paper , the authors investigated functional outcomes at 3 months after endovascular therapy in patients with acute basilar artery occlusion and to predict the futile recanalization.
Book ChapterDOI
Tiefes Koma mit Hirnstammzeichen: Rettung aus der Katastrophe
Walter F. Haupt,Christian Dohmen +1 more
TL;DR: In this paper, a 59-jahrige Patientin wurde gegen 23:00 Uhr des Vortags zuletzt gesund gesehen.
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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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