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"Basilar Web" Causing Basilar Branch Infarction.

Charles Esenwa1, Daniel Labovitz1, Louis R Caplan2

  • 1Department of Neurology, Albert Einstein College of Medicine, New York, New York.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|September 14, 2019
PubMed
Summary
This summary is machine-generated.

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A rare basilar artery web caused a stroke in a young patient without risk factors. This finding suggests considering focal fibroplasia in young adults with posterior circulation strokes.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Cerebral artery abnormalities can cause ischemic strokes.
  • Young adults with stroke often have undetermined causes.
  • Posterior circulation strokes are less common in young individuals.

Observation:

  • A young patient without vascular risk factors presented with a basilar branch infarction.
  • Imaging revealed a persistent, shelf-like filling defect in the basilar artery.
  • This defect was diagnosed as a basilar artery web.

Findings:

  • Basilar artery webs, characterized by focal intimal fibroplasia, are associated with an increased risk of brainstem infarction.
  • The identified basilar web was the likely cause of the patient's stroke.
Keywords:
Basilar arteryBasilar webCarotid webPontine perforatorStrokeStroke in the young

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Implications:

  • Basilar artery webs should be considered in the differential diagnosis of posterior circulation strokes in young adults.
  • Identifying focal fibroplasia in the posterior circulation is crucial for accurate diagnosis and management.
  • This case highlights a rare cause of stroke in young, otherwise healthy individuals.