A review of the literature focused on basilar artery pathology is very limited and only includes cases of basilar artery occlusion
or aneurysm formation.
Furthermore, 35%-40% of ischemic strokes are considered LVOs, which are composed of internal carotid artery, middle cerebral artery (MCA), and basilar artery occlusion
Stent-based mechanical thrombectomy in acute basilar artery occlusion
Excessive sweating: an uncommon sign of basilar artery occlusion
In a third study reported in the Journal of the American Medical Association, for instance, some patients with basilar artery occlusion
improved when alteplase was given intravenously more than 12 hours after symptom onset, Dr.
Intravenous thrombolysis is as good as, if not better than, the recommended intraarterial approach for basilar artery occlusion, according to Perttu J.
Several research groups have advocated the endovascular administration of thrombolytic agents directly to the posterior circulation in patients with basilar artery occlusion, and many medical centers have adopted this approach, even though there are no data comparing it with the less invasive intravenous approach.
Lindsberg and associates switched to using immediate intravenous recombinant tissue plasminogen activator (rTPA) in 50 consecutive patients with angiographically proven basilar artery occlusion between 1995 and 2003 (JAMA 2004;292:1862-6).
Traumatic Basilar Artery Occlusion
Caused by a Fracture of the Clivus.
However, the absence of any neurological changes between examinations, as would be expected with a typically devastating basilar artery occlusion, weighs against this possibility.
The complete absence of any clinical deterioration between CTA and MRA makes basilar artery occlusion unlikely.
8,10] Symptoms consistent with basilar artery occlusion
include limb paralysis, bulbar or pseudobulbar paralysis of the cranial nerve motor nuclei, nystagmus, eye movement disturbances and coma.