Basilar Artery Occlusion (BAO) revascularization after more than 12 hours from the onset of symptoms with excellent outcome: Report of a case |
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| Authors: | Mario Tortora MD Fabio Tortora MD Amedeo Guida MD Giuseppe Buono MD Mariano Marseglia MD Margherita Tarantino MD Michele Rizzuti MD Giovanni Loiudice MD Anna Iervolino MD Francesco Briganti MD |
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| Affiliation: | aDepartment of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy;bA.O.U. “Federico II”, Naples, Italy |
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| Abstract: | This paper reports a case of basilar artery occlusion (BAO), a relatively rare event associated with high mortality rate and high risk of disability. A 77-year-old man arrived at our Stroke Unit approximately 14 hours after the onset of symptoms (dysarthria and complete left hemiparesis) with progressive worsening up to coma and with a National Institute Health Stroke Scale (NIHSS) of 22.The patient was treated and, at discharge, the modified Rankin scale and NIHSS were 2 and 5, respectively. The aim of this paper is to illustrate how revascularization treatment, also after 12 hours, could be a viable option to ensure survival and a good life quality for the patient. Furthermore, it is essential to encourage the publication of a greater number of trials about the posterior circulation emphasizing how many favorable prognosis indicators are now recognized. |
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| Keywords: | Neuroradiology Interventional neuroradiology Revascularization Basilar artery occlusion Stroke |
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