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

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

doi:10.1016/j.radcr.2022.01.064

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

Radiol Case Rep. 2022 Feb 17;17(4):1300-1304. doi: 10.1016/j.radcr.2022.01.064. eCollection 2022 Apr.

Affiliations

¹ Department of Advanced Biomedical Sciences, Neuroradiology Unit, University "Federico II", Via Pansini, 5, Naples 80131, Italy.
² A.O.U. "Federico II", Naples, Italy.

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.

Keywords: Basilar artery occlusion; Interventional neuroradiology; Neuroradiology; Revascularization; Stroke.

Publication types

Case Reports