scholarly journals Isolated Basilar Artery Occlusion Associated with a Clivus Fracture

1989 ◽  
Vol 16 (1) ◽  
pp. 81-83 ◽  
Author(s):  
Abhijit Guha ◽  
Mahmood Fazl ◽  
Perry W. Cooper
Keyword(s):  
Basilar Artery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
Vascular Injuries ◽  
Blunt Head Trauma ◽  
Basilar Occlusion ◽  
Clivus Fracture ◽  
Carotid Circulation ◽  
The Brain

ABSTRACT:Most vascular injuries to the brain secondary to blunt head trauma involve the internal carotid circulation. A case of isolated basilar occlusion secondary to a clival fracture is described and compared to three other cases in the literature.

The natural history of internal carotid and vertebral-basilar artery occlusion

Neurology ◽  
1961 ◽  
Vol 11 (Issue 4, Part 2) ◽  
pp. 152-157 ◽  
Author(s):  
F. H. McDowell ◽  
J. Potes ◽  
S. Groch
Keyword(s):  
Natural History ◽  
Basilar Artery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
History Of

scholarly journals Endovascular management of basilar artery occlusion secondary to fusiform aneurysm with intraluminal thrombus

2019 ◽  
Vol 46 (Suppl_1) ◽  
pp. V2
Author(s):  
André Beer-Furlan ◽  
Hormuzdiyar H. Dasenbrock ◽  
Krishna C. Joshi ◽  
Michael Chen
Keyword(s):  
Basilar Artery ◽  
Flow Diverter ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
High Morbidity ◽  
Large Artery ◽  
Fusiform Aneurysm ◽  
Intraluminal Thrombus ◽  
Artery Disease ◽  
Basilar Occlusion

Acute basilar artery occlusion is one of the most devastating subtypes of ischemic stroke with an extremely high morbidity and mortality rate. The most common causes include embolism, large-artery atherosclerosis, penetrating small-artery disease, and arterial dissection. The heart and vertebral arteries are the main source of emboli in embolic basilar occlusions. The authors present an uncommon acute basilar occlusion secondary to a fusiform aneurysm with intraluminal thrombus. The patient underwent a mechanical thrombectomy with successful recanalization, but persistent intraluminal thrombus. The authors discuss the management dilemma and describe their choice for placement of flow diverter stents.The video can be found here: https://youtu.be/XzBdgxJPSWQ.

scholarly journals Teaching NeuroImages:Locked-in syndrome resulting from traumatic basilar artery occlusion following clivus fracture

Neurology ◽  
2012 ◽  
Vol 78 (24) ◽  
pp. e148-e149 ◽  
Author(s):  
I. Sen-Gupta ◽  
D. A. Daiga ◽  
M. J. Alberts
Keyword(s):  
Basilar Artery ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
Clivus Fracture

Basilar artery embolism

Neurology ◽  
1997 ◽  
Vol 49 (5) ◽  
pp. 1346-1352 ◽  
Author(s):  
Stefan Schwarz ◽  
Thomas Egelhof ◽  
Stefan Schwab ◽  
Werner Hacke
Keyword(s):  
Basilar Artery ◽  
Clinical Symptoms ◽  
Posterior Cerebral Artery ◽  
Clinical Signs ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion ◽  
Spine Trauma ◽  
Artery Embolism ◽  
Basilar Occlusion ◽  
Gcs Score

The objective of this study was to clarify the clinical and radiologic features, risk factors, and prognosis of basilar embolism without permanent basilar artery occlusion. Forty-five patients (mean age, 59 years) with basilar artery embolism participated in the study. Patients with basilar artery occlusion were excluded. The Glasgow Coma Scale (GCS) score on admission was <7 in five patients, 7 to 12 in 11 patients, and >12 in 29 patients. Etiologic factors were cardiac arrhythmia (17 patients), vertebral artery occlusion (12 patients), cervical spine trauma (4 patients), embolism following angiography (2 patients), and surgery (1 patient). MRI was performed in 17 patients and CT in 39 patients. Radiologic examinations were initially normal in 14 patients and remained normal in three patients. Final infarct localization was the thalamus (36 patients), cerebellum (20 patients), posterior cerebral artery territory (21 patients), midbrain (12 patients), and pons (8 patients). Eight to 12 weeks after stroke 12 patients were without clinical signs (Glasgow Outcome Scale [GOS] 1), 15 patients had minor neurologic deficits (GOS 2), 10 were severely disabled (GOS 3), and eight patients had died (GOS 5). Outcome correlated with GCS on admission(p < 0.0001) and with the number of ischemic lesions(p = 0.0001). The typical syndrome is an acute loss of consciousness followed by multiple brainstem symptoms. Usually, clinical symptoms improve rapidly and, in some patients, completely. Compared with basilar occlusion, basilar embolism has a relatively low mortality and outcome is frequently excellent.

Abstract WP84: MRI Based Scores Outperform CTA Based Scores in Predicting Outcome After Basilar Artery Occlusion

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Katarina Dakay ◽  
Amanda Ng ◽  
Justin F Fraser ◽  
Ali Mahta ◽  
Michael Reznik ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Basilar Artery ◽  
Artery Occlusion ◽  
Prognostic Scores ◽  
Basilar Artery Occlusion ◽  
Roc Curve Analysis ◽  
Ct Angiogram ◽  
Magnetic Resonance Imaging Mri ◽  
Basilar Occlusion ◽  
Noninvasive Neuroimaging

Introduction: Clinical outcomes in patients with acute basilar occlusion (BAO) vary widely; several prognostic scores based on noninvasive imaging have been proposed. We aimed to compare the predictive value of several noninvasive neuroimaging scores in patients with BAO. Methods: We performed a single-center retrospective cohort study including all patients with acute BAO from 2015-2019. Using available clinical radiographic data, we calculated the following scores based on computed tomography (CT) and CT angiogram: Goyal posterior communicating artery score, posterior circulation collateral score, Basilar Artery on Computed Tomography Angiography (BATMAN) score, pc-ASPECTS score, and pons-midbrain index. We also calculated the following scores based on diffusion-weighted (DWI) magnetic resonance imaging (MRI): Bern DWI score, MRI pc-ASPECTS, and pons-midbrain index on DWI. We then used logistic regression with area under the ROC curve analysis to determine the accuracy of each score in predicting favorable 3-month outcome (modified Rankin Scale 0-2). Results: Of 39 patients in our cohort, 92.3% underwent endovascular treatment (n=36) and 35.8% (n=14) had a favorable 3-month outcome. The Bern DWI score (AUC 0.790, 95% CI 0.619-0.960), pc-ASPECTS on MRI (AUC 0.880, 95% CI 0.601-0.958), and pons-midbrain index on MRI (AUC 0.764, 95% CI 0.594-0.934) accurately predicted 3-month outcome when analyzed as raw scores (Figure 1).: Conclusion: MRI scores more strongly predict outcome in BAO as compared to CTA collateral scores. Larger prospective studies are needed to confirm our findings.

Top of Basilar Artery Infarction: A Case Series from Sudan

2021 ◽  
Author(s):  
Mahmoud Hussien Salih Daoud ◽  
Ejlal Ahmed.E.Abushama ◽  
Abdallah.H Mahmmoud ◽  
Moh.Mah.Fadelallah Eljack ◽  
Khabab Abbashar Hussein ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Clinical Presentation ◽  
Case Series ◽  
Supportive Therapy ◽  
Artery Occlusion ◽  
Posterior Circulation ◽  
Basilar Artery Occlusion ◽  
Death Time ◽  
The Brain ◽  
Time Of Intervention

Abstract The posterior circulation represents 20% of blood supply of the brain and its occlusion commonly by embolism cause brainstem, cerebellar and lower cerebral infarction. The clinical presentation varies from mild innocent symptoms leading to sever neurological deficit or death. Time of intervention is vital commonly with antithrombatic drugs or through intervention. Here, we report two Sudanese patients who had a complicated medical sequence over months ended as top of basilar artery occlusion received anticoagulants and supportive therapy according to their condition showed a variable recovery over weeks.

scholarly journals Endovascular Therapy for Stroke due to Basilar Artery Occlusion: A BASIC Challenge at BEST

Stroke ◽  
2021 ◽  
Author(s):  
Thanh N. Nguyen ◽  
Daniel Strbian
Keyword(s):  
Basilar Artery ◽  
Endovascular Therapy ◽  
Large Scale ◽  
Randomized Trials ◽  
Artery Occlusion ◽  
High Rate ◽  
Basilar Artery Occlusion ◽  
Basilar Occlusion ◽  
Best Medical Therapy ◽  
Standard Medical Treatment

Basilar artery occlusion stroke is known to have poor outcome with a high rate of morbidity and mortality despite best medical therapy. Since the original report of intra-arterial therapy for basilar artery occlusion in 1983, two recent randomized trials comparing endovascular therapy versus best medical management were completed on a large scale, BASICS (Basilar Artery International Cooperation Study) and the BEST trial (Basilar Artery Occlusion Endovascular Intervention Versus Standard Medical Treatment), both of which demonstrated equivocal benefit of the two modalities. In this commentary, we comment and highlight important lessons related to basilar occlusion stroke as learned from the BASICS and BEST randomized trials.

Endovascular Treatment for Acute Basilar Artery Occlusion: A Nationwide Prospective Registry

2019 ◽  
Author(s):  
Wenjie Zi ◽  
Zhongming Qiu ◽  
Deping Wu ◽  
Fengli Li ◽  
Hansheng Liu ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Basilar Artery ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion

Late recanalization of basilar artery occlusion in a previously healthy 17-month-old child

2017 ◽  
pp. bcr-2017-013277
Author(s):  
D Andrew Wilkinson ◽  
Aditya S Pandey ◽  
Hugh J Garton ◽  
Luis Savastano ◽  
Julius Griauzde ◽  
...  
Keyword(s):  
Basilar Artery ◽  
Artery Occlusion ◽  
Basilar Artery Occlusion
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