These comprised 2 o 4 branches which arise from each side of the
basilar artery. They run almost parallel to one other and supply the ventrolateral aspect of the pons.
The vessel wall images of
basilar artery acquired using T2-weighted TSE protocol at the two different scan sessions were evaluated and scored for image quality by an observer with 4 years of experience in neuroradiology, who was blinded to the subject identity and scan session of each patient.
Patency of the
basilar artery and tip, left PCA, and posterior communicating artery; the thin arrows indicate the superior cerebellar arteries, with normal appearance.
In addition to the sub-arachnoid blood and skull base fracture, there was also a hypoattenuating area adjacent to the
basilar artery in the prepontine cistern compatible with hyperacture hemorrhage into the already present subarachnoid blood.
Futatsuya et al., "
Basilar artery migraine: reversible ischemia demonstrated by Tc-99m HMPAO brain SPECT," Clinical Nuclear Medicine, vol.
The CT-angiography (CTA) and digital subtraction angiography (DSA) showed multiple cerebral aneurysms at the site of bifurcation of right middle cerebral artery, A1 segment of left anterior cerebral artery, anterior communicating artery, left posterior communicating artery, and
basilar artery bifurcation (Figure 1).
The
basilar artery is less frequently implicated as a cause due to the anatomical location.
Furthermore, 35%-40% of ischemic strokes are considered LVOs, which are composed of internal carotid artery, middle cerebral artery (MCA), and
basilar artery occlusion.
The presence of canal in clivus might interfere with neurosurgical operations in the clival region and possibly provoke symptoms of the
basilar artery, as well as of the basilar plexus.2 In a study, bony canal was found on the lower half of the clival surface in 3 out of 100 adult cranial bases studied and named inferior median clival canal" to this anatomical variation.3
Two patients (4.7%) had
basilar artery insufficiency as a result of long-standing cervical syndrome.