Basilar Artery Occlusion (BAO) revascularization after more than 12 hours from the onset of symptoms with excellent outcome: Report of a case

Mario Tortora, MD; Fabio Tortora, MD, PhD; Amedeo Guida, MD; Giuseppe Buono, MD; Mariano Marseglia, MD; Margherita Tarantino, MD; Michele Rizzuti, MD; Giovanni Loiudice, MD; Anna Iervolino, MD, PhD; Francesco Briganti, MD, PhD

Radiology Case Reports (Apr 2022)

Basilar Artery Occlusion (BAO) revascularization after more than 12 hours from the onset of symptoms with excellent outcome: Report of a case

Mario Tortora, MD,
Fabio Tortora, MD, PhD,
Amedeo Guida, MD,
Giuseppe Buono, MD,
Mariano Marseglia, MD,
Margherita Tarantino, MD,
Michele Rizzuti, MD,
Giovanni Loiudice, MD,
Anna Iervolino, MD, PhD,
Francesco Briganti, MD, PhD

Affiliations

Mario Tortora, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy; Corresponding author. M. Tortora.
Fabio Tortora, MD, PhD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Amedeo Guida, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Giuseppe Buono, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Mariano Marseglia, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Margherita Tarantino, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Michele Rizzuti, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Giovanni Loiudice, MD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy
Anna Iervolino, MD, PhD: A.O.U. “Federico II”, Naples, Italy
Francesco Briganti, MD, PhD: Department of Advanced Biomedical Sciences, Neuroradiology Unit, University “Federico II”, Via Pansini, 5, Naples 80131, Italy

Journal volume & issue: Vol. 17, no. 4
pp. 1300 – 1304

Abstract

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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.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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