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Related Experiment Video

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Basilar Occlusion Syndromes: An Update.

Stacie L Demel1, Joseph P Broderick1

  • 1Department of Neurology and Rehabilitation Medicine, University of Cincinnati, Cincinnati, OH, USA.

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|August 20, 2015
PubMed
Summary

Basilar artery occlusions (BAOs) present with varied symptoms, delaying diagnosis and treatment. This review covers signs, symptoms, and management strategies for posterior circulation strokes, aiming to improve patient outcomes.

Keywords:
basilar artery occlusionbasilar artery thrombosisintra-arterial treatmentintravenous thrombolysisstroke

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Area of Science:

  • Neurology
  • Vascular Neurology
  • Neurocritical Care

Background:

  • Basilar artery occlusions (BAOs) are a critical subset of posterior circulation strokes.
  • Variable and stuttering symptoms at onset often delay diagnosis, leading to high morbidity and mortality.
  • Optimal management strategies for BAOs remain uncertain despite advances in imaging.

Purpose of the Study:

  • To present common signs and symptoms of posterior circulation strokes.
  • To review current data on optimal treatment strategies for BAOs.
  • To discuss etiologies, acute/subacute treatment, and neuroimaging of the posterior fossa.

Main Methods:

  • Compilation of data from case series and registries.
  • Inclusion of findings from a prematurely stopped randomized trial.
  • Review of literature on neuroimaging of the posterior fossa.

Main Results:

  • Common signs and symptoms of posterior circulation strokes are detailed.
  • Evidence for optimal treatment strategies is synthesized from various sources.
  • Etiologies and treatment approaches, including neuroimaging considerations, are discussed.

Conclusions:

  • Timely diagnosis and management of BAOs are crucial.
  • This review provides valuable information for clinicians managing acute stroke.
  • Understanding BAO nuances can improve patient care and outcomes.