Stroke due to acute occlusion of the basilar artery : Diagnosis and treatment

Acute occlusion of the basilar artery is a rare and, if left untreated, severe neurovascular condition with a high mortality. The clinical presentation is often atypical and hence diagnosis may be delayed. Because of the devastating natural course, recanalization strategies were often more aggressiv...

Full description

Saved in:
Bibliographic Details
Published in:Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2017-11, Vol.112 (8), p.679-686
Main Author: Nagel, S
Format: Article
Language:ger
Subjects:
Acute Disease
Brain Stem Infarctions - diagnosis
Brain Stem Infarctions - therapy
Cerebral Angiography
Computed Tomography Angiography
Endovascular Procedures
Humans
Magnetic Resonance Angiography
Neurologic Examination
Outcome and Process Assessment (Health Care)
Prognosis
Stroke - diagnosis
Stroke - therapy
Thrombectomy
Thrombolytic Therapy
Vertebrobasilar Insufficiency - diagnosis
Vertebrobasilar Insufficiency - therapy
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Acute occlusion of the basilar artery is a rare and, if left untreated, severe neurovascular condition with a high mortality. The clinical presentation is often atypical and hence diagnosis may be delayed. Because of the devastating natural course, recanalization strategies were often more aggressive than in patients with occlusions in the anterior circulation. To date, there is no evidence-based therapy, and recent larger registry studies and meta-analyses do not show a clear superiority of endovascular approaches over systemic thrombolysis alone. The current review aims to provide an overview of the most critical aspects in clinical and radiological diagnosis and treatment of basilar artery thrombosis.
ISSN:2193-6226
DOI:10.1007/s00063-017-0347-0