Endovascular embolectomy of acute basilar artery occlusion.
Acute basilar artery occlusion has a mortality rate approaching 90%. The authors describe a case of acute basilar artery occlusion managed successfully with endovascular embolectomy. A 31-year-old man sought treatment for confusion, dysarthria, and right-sided weakness. He soon became unresponsive and was found to have a vertebral artery dissection and an associated basilar artery embolism. The dissection was managed with endovascular stenting, and the basilar artery embolus was removed with a clot retriever at 7 hours. The patient recovered without neurologic deficit.
Yu
W
W
Department of Neurology, University of California, San Francisco, CA 94143, USA. wyu6228@itsa.ucsf.edu
Binder
D
D
Foster-Barber
A
A
Malek
R
R
Smith
W S
WS
Higashida
R T
RT
D000208:Acute Disease; D000328:Adult; D020520:Brain Infarction / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging; D017128:Embolectomy; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D020217:Vertebral Artery Dissection / Q000000981:diagnostic imaging / Q000601:surgery; D014715:Vertebrobasilar Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*