";s:4:"text";s:18740:"Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Background Performing mechanical thrombectomy (MT) in patients with basilar artery occlusion (BAO) is currently not evidence-based. Stroke. We applied pc-ASPECTS to CT angiography source images of patients with CT angiography for confirmation of basilar artery occlusion. 1 Division of Neurology, Department of Neurosciences, Azienda Ospedaliera “San Pio”, Benevento, Italy. Medial pontine syndrome – occlusion of paramedian branch of basilar artery A.IPSILATERAL 1.Gaze paresis 2.Cerebellar signs B.CONTRALATERAL 1.Hemiparesis 2.Hemianaesthesia 35. Dr.Ram Raut (JR III). Therapy of basilar artery occlusion: a systematic analysis comparing intra-arterial and intravenous thrombolysis. 1. • Early diagnosis of basilar artery occlusion difficult as other neurological disorders such as seizure or basilar migraine might mimic stroke. Now customize the name of a clipboard to store your clips. Tắc động mạch thân nền, đột quỵ1. 2003 Nov 25. It runs anterior to the brainstem and is formed by the union of the vertebral arteries. The basilar artery is a relatively large, robust blood vessel located in the posterior cranial fossa. It is she who is responsible for the supply of sufficient amounts of oxygen and nutrients to the brain. 61(10):1421-3. . Neurology. thromboembolism (e.g. It is the main blood vessel that forms the posterior circulation of the brain.. 2006 Mar. 6/12/2013 See our User Agreement and Privacy Policy. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Therapy of basilar artery occlusion: a systematic analysis comparing intra-arterial and intravenous thrombolysis. Objective: To investigate the efficacy of tenecteplase (TNK), a genetically modified variant of alteplase with greater fibrin specificity and longer half-life than alteplase, prior to endovascular thrombectomy (EVT) in patients with basilar artery occlusion (BAO). • Partial deafness, ataxic tremor of ipsilateral UL, Horner’s syndrome & Palatal myoclonus rare Superior cerebellar artery occlusion 33. Purpose of review: To provide the latest updates in the diagnosis, management, and prognosis in patients with basilar artery occlusion (BAO). Therapy of basilar artery occlusion: a systematic analysis comparing intra-arterial and intravenous thrombolysis. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 2. Purpose: This study aims to analyse the efficacy of different treatment methods for acute basilar artery occlusion, with an emphasis placed on evaluating the latest treatment methods.Method: A systematic review and meta-analysis was performed to analyse the current data on the therapies available for treating acute basilar artery occlusion.Results: A total of 102 articles were included. More serious sequelae range from seizures to tetraplegia and a … Functional outcome was assessed at 1 month. If you continue browsing the site, you agree to the use of cookies on this website. In some cases, a brainstem stroke may be the result of an injury to an artery as a result of sudden head or neck movement. Basilar artery occlusion (BAO) is one of the most devastating forms of stroke and few patients have good outcomes without recanalization. Yu W, Binder D, Foster-Barber A, et al. Loading in ... (FAST): results of a multicener study Stroke 2 Eckert 2002 Acute basilar artery occlusion treated with combined iv Abciximab and intra-arterial tissue plasminogen activator – report of 3 cases. By means of the basilar artery, approximately 70% of all necessary blood is delivered to the brain. Stroke. Now customize the name of a clipboard to store your clips. 61(10):1421-3. . Similar to risk factors for stroke, causes of a basilar artery stroke include the following: 1. 2003 Nov 25. QESTION 2 Time window for recanalization in basilar artery occlusion. The first detailed description of basilar artery occlusion (BAO) was documented by Kubik and Adams 1 in 1946. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Objective To compare patients’ outcome, relative merits of achieving recanalization, and predictors of futile recanalization (FR) between BAO and anterior circulation large vessel occlusion (ACLVO) MT. Basilar occlusion• Proximal occlusion: Vertigo (swimming, swaying, moving, unsteadiness or light-headedness)• Warning signs: Diplopia, dysarthria, facial or circumoral numbness and hemisensory symptoms.• Basilar artery occlusion is rare, accounting for approximately 1% of strokes [1]. a condition characterized by poor blood flow to the posterior (back) portion of the brain ‘ CASE OF ALTERED Marco Sparaco 1. No public clipboards found for this slide. 37(3):922-8. . The basilar artery (/ ˈ b æ z. ɪ. l ər /) is one of the arteries that supplies the brain with oxygen-rich blood.. • It carries a high mortality of 85–95% if recanalization does not occur, and a substantial part of survivors suffer severe disability, some being in locked in state. My case presentation on Basilar artery thrombosis. You can change your ad preferences anytime. If you continue browsing the site, you agree to the use of cookies on this website. Large vessel stroke within the anterior circulation Large vessel stroke within the posterior circulation Small vessel disease of either vascular bed. Higher FLAIR-hyperintense basilar artery scores were associated with patient death (28.3 ± 13.7 versus 13.4 ± 11.1, P < .05). Lindsberg PJ, Mattle HP. Endovascular embolectomy of acute basilar artery occlusion. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. See our Privacy Policy and User Agreement for details. SENSORIUM ’ Epub 2018 Apr 12. Clipping is a handy way to collect important slides you want to go back to later. Occlusions of the posterior circulation arteries are related to a fifth of all strokes, and basilar artery occlusion is Điều trị can thiệp lấy HK khi tắc ĐM thân nền. Abstract. See our User Agreement and Privacy Policy. 11. Stroke. Smoking 2. Basilar artery occlusion (BAO) comprises ≈1% of all strokes and is one of the most devastating neurological conditions associated with high risk of disability and mortality if recanalization does not occur Looks like you’ve clipped this slide to already. METHODS: BASICS was a prospective, observational registry of consecutive patients with acute symptomatic basilar artery occlusion. Acute occlusion of the basilar artery can be due to either thromboembolism, atherosclerosis or propagation of intracranial dissection. fig 1.. Anteroposterior oblique views of the basilar artery. See our Privacy Policy and User Agreement for details. Objective: A study was undertaken to evaluate clinical and procedural factors associated with outcome and recanalization in endovascular stroke treatment (EVT) of basilar artery (BA) occlusion. Mai JC(1), Tariq F, Kim LJ, Sekhar LN. Basilar artery occlusion is a potentially life-threatening subset of the larger category of posterior circulation strokes, carrying > 80% fatality rate without treatment. No public clipboards found for this slide. The basilar artery is a major component of the posterior circulation, contributing to the circle of Willis and supplying the structures of the posterior cranial fossa including the pons and cerebellum. If you continue browsing the site, you agree to the use of cookies on this website. Yu W, Binder D, Foster-Barber A, et al. Outcome of endovascular treatment for acute basilar artery occlusion in the modern era: a single institution experience. Flow diversion radial artery bypass graft coupled with terminal basilar artery occlusion for the treatment of complex basilar apex aneurysms: operative nuances. Triệu chứng của NMN do tắc ĐM thân nền2. Why longer? Neuroradiology. Endovascular embolectomy of acute basilar artery occlusion. Basilar artery occlusion is even rarer. Thrombotic Occlusion of the Common Carotid Artery in Acute Ischemic Stroke Vijay K Sharma Consultant Neurologist National University Hospital Singapore [email_address] 2. 1. Clipping is a handy way to collect important slides you want to go back to later. 18. In the emergency setting, VBI is an important diagnosis to consider as many symptoms can appear like other benign etiologies such as labyrinthitis, vestibular neuritis, and benign paroxysmal positional vertigo (BPPV). Neurology. If you continue browsing the site, you agree to the use of cookies on this website. 2006 Mar. Methods: ENDOSTROKE is an investigator-initiated multicenter registry for patients undergoing EVT. Note bilateral stenosis of the posterior cerebral arteries (arrows) and a stenosis involving the distal left vertebral artery at the vertebrobasilar junction. CLINICAL MEET Upcoming SlideShare. performed a retrospective analysis of clinical and procedural data of consecutive BAO patients from the BATMAN registry and EXTEND-IA-TNK trial. The basilar artery is formed at the point of fusion of paired carotid arteries and paired vertebral arteries. 2018 Jun;60(6):651-659. doi: 10.1007/s00234-018-2011-7. The left AICA arises from the left PICA. Looks like you’ve clipped this slide to already. • Series of TIAs, slowly progressive, fluctuating stroke herald an occlusion of distal vertebral or proximal basilar artery. Stroke may occur either due to an occlusion of the vertebral or basilar artery or an embolus that that may lodge more proximal to the brain. A stroke that occurs in the brainstem is either caused by a blood clot or hemorrhage. METHODS: BASICS is a prospective multicenter registry of patients (n=619) with radiologically confirmed BAO. We investigated the relationship between time to recanalization therapy and functional outcome in BAO with data from the Basilar Artery International Cooperation Study (BASICS). CONCLUSIONS: The FLAIR-hyperintense basilar artery sign proved to be a valuable marker of vessel occlusion and may substantially support the diagnosis of basilar artery occlusion. There are various conditions that may affect the flow of blood flow to the brainstem. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Basilar Artery Occlusion: Clinical Management and Therapy. Lindsberg PJ, Mattle HP. Pons-Lower 34. • Devastating event, with a mortality rate of 83-92%. Although these may occur anywhere, each of these have predilections for different segments of the basilar artery: vertebrobasilar junction. • Occlusion of the basilar artery is one of the most devastating forms of ischemic stroke. 1. Recent findings: The diagnosis of BAO requires a high index of suspicion among patients with sudden onset depressed level of consciousness, quadraparesis (or hemiparesis), and cranial nerve dysfunction. cardioembolic) atherosclerosis with thrombosis 37(3):922-8. . Approximately 60% of patients have prodromal transient ischemic attacks consisting of vertigo, nausea, and headaches. 37(3):922-8. . Author information: (1)Department of Neurosurgery, University of Washington, Seattle, WA, USA. Basilar artery occlusion (BAO) accounts for about 1% of all stroke and, despite successful recanalization, is strongly associated with a high mortality rate and a high risk of disability. Most centers apply recanalization therapies for BAO up to 12-24 hours after symptom onset, which is a substantially longer time window than the 4.5 hours used in anterior circulation stroke. 2006 Mar. In order to investigate the efficacy of tenecteplase (TNK) achieving better reperfusion than alteplase prior to endovascular therapy (EVT) in patients with basilar artery occlusion (BAO), Alemseged et al. A, Eccentric high-grade (>75%) stenosis of the lower basilar artery above the origin of the right AICA. Cluster of signs and symptoms produced due to the occlusion of an artery (due to an atherothrombotic lesion or an emboli or dissection ) supplying a particular region of the brain. You can change your ad preferences anytime. Thrombotic Occlusion Of The Common Carotid Artery 1. Introduction. Policy and User Agreement for details to store your clips San Pio ”, Benevento Italy... Patient death ( 28.3 ± 13.7 versus 13.4 ± 11.1, P.05. Patients with CT angiography source images of patients have prodromal transient ischemic attacks of... 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