1,107 results match your criteria Basilar Artery Thrombosis


Arterial Thrombosis of Unknown Etiology in a 10-Year-Old Male.

Cureus 2022 May 27;14(5):e25400. Epub 2022 May 27.

Pediatric Hematology and Oncology, University of South Florida Morsani College of Medicine, Tampa, USA.

Arterial thrombotic events are exceedingly rare occurrences in pediatric populations. The incidence of childhood thrombosis is extremely low and the majority of cases are venous in origin. There are several well-known etiologies and genetic risk factors with an underlying predisposition to venous thrombosis, however, there have been few identified etiologies of arterial thrombotic events in pediatric patients. Read More

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Unsuccessful bypass and trapping of a giant dolichoectatic thrombotic basilar trunk aneurysm. What went wrong?

Br J Neurosurg 2022 May 17:1-4. Epub 2022 May 17.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.

Aneurysms of the basilar trunk represent an exceptional challenge to the neurosurgeon, due to high mortality and surgical morbidity. We present a 69-year-old man with a giant dolichoectatic thrombotic basilar trunk aneurysm (BTA), who underwent right orbitozygomatic craniotomy, posterior cerebral artery (PCA) to right middle cerebral artery (MCA) bypass and trapping of the BTA. Unfortunately, patient died after surgery due to multiple foci of intraparenchymal haemorrhage and thrombosis of a short segment proximal to aneurysm trapped and his body was donated to the hospital, giving us the unique opportunity to compare intraoperative details with anatomical dissection findings, according to our previously published cadaveric neurosurgical research. Read More

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Transient Ischemic Attack Due to Unruptured Basilar Artery Aneurysm.

Cureus 2022 Apr 13;14(4):e24102. Epub 2022 Apr 13.

Neurology, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, IND.

Intracranial aneurysms are typically asymptomatic. They are usually incidentally detected or detected only after rupture. Ischemic stroke or transient ischemic attack (TIA) due to unruptured intracranial aneurysms (UIAs) is rare. Read More

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Basilar Artery Thrombosis in the Postpartum Period During COVID - 19 Pandemic: A Lethal But Avoidable Complication.

Acta Neurol Taiwan 2022 Dec;31(4):170-173

Department of Radiology, All India Institute of Medical Sciences (AIIMS), Jodhpur, Rajasthan, India.

Purpose: To highlight the factors leading to the delayed diagnosis of basilar artery occlusion and poor outcome in the postpartum period during the prevailing Corona Virus Disease-2019 (COVID-19) pandemic.

Case Report: We here report a case of a 34-year female who presented with a headache localized to the occipital region after cesarean section under spinal anesthesia. Her headache severity increased over time, and she developed a generalized seizure episode and became unconscious. Read More

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December 2022

Antiplatelets and Anticoagulants in Ischemic Stroke,Transient Ischaemic Attack: A Practice Survey Among Singapore Neurologists.

Acta Neurol Taiwan 2022 Dec;31(4):154-160

Raffles Neuroscience Centre,Raffles Hospital,Singapore.

Purpose: Evidence-based stroke clinical practice guidelines provide guidance as how to best manage patients with cerebrovascular disease. Where there are grey zones, the clinician decides what she/he feels is the most appropriate in that circumstance. This study was performed to determine how adult neurologists in Singapore would use antiplatelets(AP) and anticoagulants(AC) for their ischemic stroke patients in various settings where the evidence is uncertain. Read More

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December 2022

Dolichoectasia: a brain arterial disease with an elusive treatment.

Neurol Sci 2022 Apr 20. Epub 2022 Apr 20.

Department of Neurology, Columbia University Irving Medical Center, 710 W 168th Street, 6th Floor, Suite 639, New York, NY, 10032, USA.

Introduction: Dolichoectasia is a form of brain large artery disease associated with a high risk of mortality and morbidity. Progressive enlargement of arterial size is a predictor of mortality, but there are no specific treatments for arresting or slowing down dilatation. Additionally, dilated brain arteries can cause flow stagnation, which can trigger thrombosis and cause stroke. Read More

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Strokelore: Outcome of Basilar Artery Occlusion.

Authors:
William J Powers

J Stroke Cerebrovasc Dis 2022 06 6;31(6):106437. Epub 2022 Apr 6.

Department of Neurology, University of North Carolina School of Medicine, Chapel Hill, NC, USA. Electronic address:

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Vertebrobasilar Stroke: Association Between Infarction Patterns and Quantitative Magnetic Resonance Angiography Flow State.

J Am Heart Assoc 2022 03 16;11(5):e023991. Epub 2022 Feb 16.

Department of Neurology Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Manhasset NY.

Background Treatment and prognosis of vertebrobasilar atherosclerotic disease differs depending on stroke mechanism, such as artery-to-artery embolism, branch atheromatous disease, and hemodynamic ischemia. Our aim was to investigate the relationship between infarction pattern and flow status using quantitative magnetic resonance angiography (QMRA), to determine the validity of using infarction patterns to infer stroke mechanism. Methods and Results This is a retrospective study of patients with ischemic stroke with intra- or extracranial vertebrobasilar atherosclerotic stenosis, who underwent magnetic resonance imaging of the brain, neurovascular imaging, and QMRA, between 2009 and 2021. Read More

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Endovascular Mechanical Thrombectomy for Basilar Artery Occlusion Caused by Thrombosis as an Initial Manifestation of Acute Myelogenous Leukemia: A Case Report.

NMC Case Rep J 2021 2;8(1):767-772. Epub 2021 Nov 2.

Department of Neurosurgery, Japan Community Health Care Organization Kobe Central Hospital, Kobe, Hyogo, Japan.

We report a rare case of a basilar artery occlusion (BAO) caused by thrombosis as an initial magnification of acute myelogenous leukemia (AML) and performed mechanical thrombectomy (MT) to treat it. A 67-year-old female presented left hemiparalysis of her arm and right-sided blindness. Magnetic resonance imaging (MRI) and magnetic resonance angiography revealed acute infarction in the left occipital and anterior lobes of the cerebellum and incomplete BAO. Read More

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November 2021

Neurosyphilis presenting with a large vessel occlusion: A case report.

Brain Circ 2021 Oct-Dec;7(4):285-288. Epub 2021 Dec 21.

Department of Neurology, UCONN School of Medicine, Connecticut, USA.

We describe a case of a 36-year-old man who presented with stroke in the right paramedian pons in the pontine perforator territory, manifesting as intermittent headache, slurred speech, left-sided weakness, and paresthesia. This case highlights the diagnostic challenge in identifying neurosyphilis as a cause of stroke in young individuals. Clinicians should maintain vigilance for this uncommon etiology through conducting a detailed history and investigation in susceptible patients with key risk factors. Read More

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December 2021

Basilar artery thrombosis.

Pract Neurol 2022 Feb 9;22(1):82-84. Epub 2021 Dec 9.

Radiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

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February 2022

Artery of Percheron in the Differential Diagnosis of Acute Altered Mental Status.

Case Rep Med 2021 22;2021:5583248. Epub 2021 Oct 22.

Emergency Department of Hospital, Clinico Universitario Lozano Blesa, Zaragoza, Spain.

Bilateral thalamic infarction is a rare entity (it occurs in 0.6% of ischemic strokes) and can be confused with other vascular etiologies such as basilar syndrome and deep cerebral venous thrombosis, as well as neoplasms, infections, or toxins. It is typically characterized by the triad of altered mental status, vertical gaze paralysis, and memory impairment, although their symptoms can be highly variable. Read More

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October 2021

Locked-in Syndrome Due to Meningovascular Syphilis: A Case Report and Literature Review.

Intern Med 2022 May 19;61(10):1593-1598. Epub 2021 Oct 19.

Department of Neurology, Graduate School of Medicine, Nihon University School of Medicine, Japan.

We herein report a 46-year-old man presenting with locked-in syndrome secondary to meningovascular syphilis. Brain magnetic resonance imaging (MRI) demonstrated multiple acute infarctions in the left ventromedial pons, right basis pontis, and left basal ganglia. His locked-in syndrome was hypothesized to have been caused by thrombosis of the small paramedian branches of the basilar artery due to syphilitic arteritis. Read More

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A 52-Year-Old Man With Vertigo: A Common Symptom or an Urgent Syndrome?

J Med Cases 2020 Jul 29;11(7):221-223. Epub 2020 Jun 29.

University of Cyprus, Medical School, 2029 Nicosia, Cyprus.

Basilar occlusion syndrome is an uncommon cause of posterior circulation cerebrovascular syndromes. Approximately one-fifth of the ischemic strokes occur in the posterior cerebrovascular system and it is associated with an increased morbidity and mortality. The symptoms and signs are non-specific, resulting in delays in diagnosis, and a high index of suspicion is required that will lead to the correct diagnosis. Read More

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PulseRider Treated Aneurysm with Significant Artifact on Postoperative Magnetic Resonance Angiography: A Case Report and Literature Review.

Neurointervention 2021 Nov 24;16(3):293-297. Epub 2021 Aug 24.

Department of Neurosurgery, Baylor Scott & White Medical Center, Temple, TX, USA.

The PulseRider is a neuroendovascular adjunct for wide-necked intracranial aneurysms. The decreased metal burden of the PulseRider theoretically reduces artifact on radiologic imaging. However, we report here on a case of a patient who underwent PulseRider-assisted stent-coiling of a basilar tip aneurysm. Read More

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November 2021

Retrograde thrombectomy of basilar artery thrombus through the posterior communicating artery.

J Neurointerv Surg 2022 Jun 5;14(6):634. Epub 2021 Aug 5.

Neuroscience, UNC Rex Healthcare, Raleigh, North Carolina, USA.

Transcirculation thrombectomy through the communicating arteries of the circle of Willis has been previously described as a bailout in cases where direct thrombectomy is not feasible.1-3 Here we present a unique case where a retrograde thrombectomy of the proximal basilar artery was performed using the right posterior communicating artery (PCOM) in a patient with bilateral occlusions of the vertebral arteries, believed to be chronic. This was done using a quadriaxial system with multiple concentric catheters to minimize the ledge effect and achieve smooth and safe transition of the catheters from anterior to posterior circulations. Read More

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Mechanical Embolectomy for Superior Cerebellar Artery Embolism.

J Craniofac Surg 2022 May 30;33(3):846-849. Epub 2021 Jul 30.

Department of Neurosurgery.

Abstract: Acute embolism of the superior cerebellar artery is rarely reported. The treatment is mainly medication, decompressive craniectomy is performed when necessary, and mechanical thrombus removal is not recommended. This article describes the admission of a 69-year-old man with acute superior cerebellar artery embolization. Read More

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Characteristics of high-resolution magnetic resonance vessel wall imaging of cervicocerebral artery dissection and the influential factors of vascular recanalization.

Zhong Nan Da Xue Xue Bao Yi Xue Ban 2021 May;46(5):467-474

Department of Radiology, Xiangya Hospital, Central South University, Changsha 410008, China.

Objectives: Cervicocerebral artery dissection (CAD) is one of the important causes for ischemic stroke in young and middle-aged people. CAD is dangerous and untimely diagnosis and treatment are likely to result in severe disability. Early diagnosis and timely intervention can greatly improve the prognosis of patients. Read More

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Direct Vertebral Artery Access for Coil Embolization of a Partially Thrombosed Mid-Basilar Trunk Aneurysm: Technical Limitations.

Oper Neurosurg (Hagerstown) 2021 09;21(4):E381-E385

Department of Neurosurgery, Medstar Washington Hospital Center, Washington, District of Columbia, USA.

Background And Importance: Partially thrombosed basilar aneurysms have a high morbidity from the rupture risk and mass effect prompting early treatment. Depending on the size and location, they pose a surgical challenge often requiring multiple endovascular treatment modalities. Here we present a partially thrombosed mid-basilar aneurysm successfully coil embolized with direct vertebral artery access and discuss the technical limitations of direct V1 access. Read More

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September 2021

Free-floating and spinning thrombus of the basilar artery: A case report.

Medicine (Baltimore) 2021 May;100(21):e25696

Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.

Rationale: Free-floating thrombi in the intracranial artery are rare. We report a case of a free-floating and spinning thrombus caused by turbulent flow distal to the basilar artery stenosis. We compare thrombus changes in a series of images according to time and describe the approach to treatment and thrombosis resolution. Read More

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Under pressure: pressure-dependent pontine compression by a dolichoectasia basilar artery, a case report.

Neuroradiol J 2021 Dec 24;34(6):686-687. Epub 2021 May 24.

Department of Neurology, Henry Ford Hospital, USA.

Basilar artery dolichoectasia can lead to ischemic stroke through thrombosis of small perforating vessels of the brainstem. Here we report the case of a patient with transient paramedian pontine syndrome in the setting of a hypertensive crisis, finding a dolichoectasia basilar artery compressing on the ventral surface of the pons. The outcome was near-complete resolution of deficits after blood pressure control. Read More

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December 2021

Ischemic Stroke as a Warning Sign of Impending Aneurysmal Rupture: A Report of Two Cases.

NMC Case Rep J 2021 Apr 2;8(1):85-88. Epub 2021 Apr 2.

Department of Neurosurgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Nagasaki, Japan.

Ischemic stroke associated with intracranial aneurysm is rare but potentially happens because of emboli originating from aneurysm sac or aneurysmal thrombosis extension to the parent artery. We describe two patients who present subarachnoid hemorrhage (SAH) soon after ischemic stroke. Case 1. Read More

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Refractory Left Focal Motor Status Epilepticus as Initial Clinical Presentation of Acute Basilar Artery Thrombosis.

Mayo Clin Proc Innov Qual Outcomes 2021 Apr 11;5(2):511-515. Epub 2021 Feb 11.

Department of Neurology, Mayo Clinic, Scottsdale, AZ.

Seizures are uncommon with posterior circulation strokes. They are more often associated with anterior circulation strokes, with only a limited number of cases of status epilepticus reported to be related to brain stem ischemia. The literature includes case reports of generalized tonic-clonic seizures and associated status epilepticus as an initial presentation of acute basilar artery thrombosis. Read More

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A Single-Center Experience of Endovascular Treatment in Subtypes of Basilar Artery Occlusion: Embolization Caused by Tandem Vertebral Artery Stenosis May Be Associated with Better Outcomes.

World Neurosurg 2021 07 12;151:e918-e926. Epub 2021 May 12.

Department of Neurology, Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China. Electronic address:

Objective: Basilar artery occlusion (BAO) is a severe condition with high mortality. However, surgical procedures and outcomes of BAO with different pathologic subtypes have not been fully clarified. This study compared the surgical procedures and clinical outcomes of mechanical thrombectomy in different subtypes of BAO. Read More

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[Endovascular treatment of acute basilar artery occlusions].

Nervenarzt 2021 Aug 3;92(8):752-761. Epub 2021 May 3.

Klinik und Poliklinik für Neurologie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Deutschland.

Background: Since the publication of the large randomized controlled thrombectomy trials, endovascular treatment (EVT) has become the standard of care for acute stroke patients with anterior circulation large vessel occlusion (acLVO); however, the treatment of patients with an intracranial occlusion in the posterior circulation and in particular of the basilar artery has not been proven. Thus, there is uncertainty regarding the indications for EVT due to the poor evidence situation.

Objective: This review article addresses the current data on EVT in the posterior circulation and the most recent study results. Read More

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A Rare Case of Cerebral Venous Thrombosis and Disseminated Intravascular Coagulation Temporally Associated to the COVID-19 Vaccine Administration.

J Pers Med 2021 Apr 8;11(4). Epub 2021 Apr 8.

Department of Medicine of Precision, School of Medicine, "Luigi Vanvitelli" University of Campania, 80147 Naples, Italy.

Globally, at the time of writing (20 March 2021), 121.759.109 confirmed COVID-19 cases have been reported to the WHO, including 2. Read More

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Headache secondary to cerebrovascular disease.

Cephalalgia 2021 04 18;41(4):479-492. Epub 2021 Mar 18.

Institute for Medical Informatics, Biometry and Epidemiology, Medical Faculty of the University Duisburg-Essen, Essen, Germany.

Objectives: To discuss headache secondary to cerebrovascular disease.

Background: Headache is an important symptom in cerebrovascular diseases. In some conditions, headache is the leading symptom. Read More

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Stenting for Symptomatic Intracranial Vertebrobasilar Artery Stenosis in Northeast of China: A Single-Center Study.

Front Neurol 2020 16;11:609286. Epub 2021 Feb 16.

Department of Neurology, Stroke Center & Clinical Trial and Research Center for Stroke, The First Hospital of Jilin University, Changchun, China.

We described the incidence of surgery-related complications to evaluate the safety of endovascular therapy for severe symptomatic intracranial vertebral basilar artery stenosis (IVBS) in our stroke center in Northeast of China. Consecutive patients with symptomatic IVBS caused by 70-99% stenosis despite standard medical treatment of antiplatelet agents plus statin were enrolled. Either balloon-mounted stent or balloon predilation plus self-expanding stent was performed. Read More

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February 2021

Common carotid to vertebral artery bypass to facilitate endovascular treatment of a basilar artery aneurysm.

J Surg Case Rep 2021 Jan 31;2021(1):rjaa579. Epub 2021 Jan 31.

Department of Vascular Surgery, John Hunter Hospital, New Lambton, Australia.

Large posterior circulation intracranial aneurysms have a high risk of significant morbidity or mortality if left unmanaged. Endovascular techniques are well established as primary treatment for such aneurysms. This includes placement of endovascular flow diversion stents that result in progressive thrombosis and resolution of aneurysms. Read More

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January 2021

A clinical characteristic analysis of five cases of rare bilateral cerebral peduncular infarction (BCPI) with the 'Mickey Mouse ears' sign.

Authors:
Qing Ye Tao Xiang

Brain Inj 2021 02 9;35(3):363-367. Epub 2021 Feb 9.

Department of Neurology, The First Affiliated Hospital of University of South China, Hengyang, Hunan, China.

: To investigate the clinical manifestations, magnetic resonance imaging (MRI) features, and prognosis of patients diagnosed with bilateral cerebral peduncular infarction (BCPI) with the 'Mickey Mouse ears' sign.: This study, retrospectively summarized the clinical features, MRI and magnetic resonance angiography (MRA) manifestations, and prognosis of 5 patients diagnosed with BCPI and with the 'Mickey Mouse ears' sign from our hospital. In the meantime, we also systematically analyzed and summarized the clinical and imaging features, and prognosis in combination with relevant cases from the national and international literature that had been reported. Read More

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February 2021