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Disorder of Basilar Artery


Presentation

  • Clinical and imaging features provided important clues for diagnosis in the cases presented.[ncbi.nlm.nih.gov]
  • Clinical presentation varies depending on the location of the occlusion. The symptoms include mild dysarthria to coma or sudden death. The initial subtle clinical presentation could lead to misdiagnosis.[casereports.bmj.com]
  • Clinical Presentations of Posterior Circulation Stroke In clinical practice, not all PC stroke presentations are classic. Many patients present with signs and symptoms of multifocal PC infarctions.[frontiersin.org]
  • The IHS criteria also note that if motor weakness is present, the disorder should be coded as familial hemiplegic or sporadic hemiplegic migraine.[healthcentral.com]
  • However, cases in which all of these symptoms are present are rare, and the symptoms of each case vary and depend on the ischemic area.[omicsonline.org]
Overeating
  • Diet triggers: The over consumption of certain foods like Chocolate, Alcohol, Pork and smoked foods trigger basilar type migraines in certain people. Symptoms of Basilar Artery Migraine A Basilar type migraine shows typical aura symptoms.[headacheupdates.com]
  • […] face Descending tract and nucleus fifth nerve On side opposite lesion: Impaired pain and thermal sense over half the body (may include face) Spinothalamic tract Midpontine syndrome : Signs and symptoms Structures involved 1.[minclinic.ru]
  • Some have an audible bruit that can be heard by listening over the skull.[dartmouth.edu]
  • Over time, plaque can severely narrow and completely block your arteries, preventing blood from reaching your vital organs.[healthline.com]
  • […] five or more minutes and/or different aura symptoms occur in succession over five or more minutes each aura symptom lasts five or more and 60 minutes or less headache meeting criteria Migraine without aura begins during the aura or follows aura within[helpforheadaches.com]
Poor Coordination
  • […] symptoms may include: Bladder or bowel control problems Difficulty walking (unsteady gait) Headache, neck ache Hearing loss Muscle weakness Nausea and vomiting Pain in one or more parts of the body, which gets worse with touch and cold temperatures Poor[medlineplus.gov]
  • Other symptoms may include: Bladder or bowel control problems Difficulty walking (unsteady gait) Headache Hearing loss Muscle weakness Nausea and vomiting Neck ache Pain in one or more parts of the body, which gets worse with touch and cold temperatures Poor[ufhealth.org]
Convulsions
  • […] thinking clearly Treatment for Basilar Artery Migraine- A host of treatments are available for treating Basilar Artery Migraine including Tri-cyclic antidepressents like amitriptylene, beta-blockers such as propranolol, calcium channel blockers, and anti-convulsants[headacheupdates.com]
  • […] facial paresis - 40-67% of cases Dysarthria and speech impairment - 30-63% of cases Vertigo, nausea, and vomiting - 54-73% of cases Headache - 40-42% of cases Visual disturbances - 21-33% of cases Altered consciousness - 17-33% of cases In a few cases, convulsive-like[emedicine.medscape.com]
  • Convulsive-like movements in brainstem stroke. Arch Neurol 2001;58:654–657. PubMed CrossRef Google Scholar 33. Bonafe A, Manelfe C, Scotto B, Pradere MY, Rascol A. Role of computerised tomography in vertebrobasilar ischemia.[link.springer.com]
Radiculopathy
  • Fusiform aneurysm presenting with cervical radiculopathy in ehlers-danlos syndrome. Journal of Korean Neurosurgical Society. 2010; 48 :528-31 17. Baccin CE, Krings T, Alvarez H, Ozanne A, Lasjaunias PL.[medsci.org]

Workup

  • Diagnosis Basilar tip aneurysms are uncommon aneurysm and are usually diagnosed after a subarachnoid hemorrhage or during a workup for cranial nerve dysfunction.[virtualmedstudent.com]
  • (See Etiology and Workup.) Diffusion-weighted MRI images showing a right cerebellar infarct.[emedicine.medscape.com]
  • This time a real workup was done. CT Angiogram shows “filling defect” inside the left middle cerebral artery — filling defect is something inside the artery that shouldn’t be there.[neuroangio.org]
  • Further workup may include referral to a geneticist for evaluation of potential genetic or metabolic causes of stroke in these populations.[clevelandclinicmeded.com]

Treatment

  • Access the comprehensive, expert clinical guidance you need to recognize the clinical manifestations of stroke, use the latest laboratory and imaging studies to arrive at a diagnosis, and generate an effective medical and surgical treatment plan.[books.google.com]
  • […] for Basilar Artery Migraine- A host of treatments are available for treating Basilar Artery Migraine including Tri-cyclic antidepressents like amitriptylene, beta-blockers such as propranolol, calcium channel blockers, and anti-convulsants like depakote[headacheupdates.com]
  • Both patients presented their symptoms while receiving aspirin, and became asymptomatic after treatment with warfarin.[ncbi.nlm.nih.gov]
  • Learn about arteriosclerotic (vascular) dementia diagnosis, symptoms, causes and treatments at Northwell Health Learn about Arteriovenous (AV) Fistula diagnosis, symptoms, causes and treatments at the Northwell Health Brain Aneurysm Center and Cerebrovascular[northwell.edu]

Prognosis

  • Caplan First published November 1, 1987, DOI: Abstract We report the clinical features and prognosis in nine patients with angiographically documented basilar artery stenosis of the middle and distal segments.[neurology.org]
  • (See Prognosis, Treatment, and Medication.) Vertigo is one of several common presenting symptoms associated with basilar artery occlusion.[emedicine.medscape.com]
  • […] showed that abnormal echcocardiographic finding and elevation of serum troponin I were the factor associated with development of adverse cardiovascular event and that abnormality in ECG and initial mental status were the factor associated with poor prognosis[ir.ymlib.yonsei.ac.kr]
  • Review 466 Downloads 38 Citations Abstract Basilar artery occlusion is assumed to carry a grave prognosis, with mortality rates of up to 90%.[link.springer.com]
  • Prognosis (outlook for recovery) According to the International Encyclopaedia of Rehabilitation and researchers, recovery of horizontal eye movements prior to the first four weeks is associated with a good neurological prognosis (Bauer et al., 1979).[brainfoundation.org.au]

Etiology

  • The following standardized criteria were used to classify stroke etiology LAA and BABAD [ 1, 2 ]: (1) BABAD.[bmcneurol.biomedcentral.com]
  • They are large-artery atherosclerosis, embolism, small-vessel disease, stroke of other determined etiology, and stroke of undetermined etiology.[clevelandclinicmeded.com]
  • Etiologies of Ischemic Posterior Circulation Stroke Beyond the minority of cases associated with vascular anomalies of the PC previously discussed, several pathological and demographic differences must be considered when determining stroke etiology.[frontiersin.org]
  • (See Etiology and Workup.) Diffusion-weighted MRI images showing a right cerebellar infarct.[emedicine.medscape.com]
  • Megadolichobasilar artery as the etiology of sensorineural deafness in differential sudden deafness diagnosis] HNO. 1999, 47:494-6. 5. Lopez-Dominguez JM, Casado-Chocan JL, Blanco-Ollero A, Rodriguez-Verdugo M, Robledo-Strauss A, Diaz-Espejo C.[arquivosdeorl.org.br]

Epidemiology

  • Basilar-type migraine: Clinical, epidemiologic, and genetic features. Neurology 2006;66: 880-886. Klapper J, Mathew N, Nett R. Triptans in the treatment of basilar migraine and migraine with prolonged aura. Headache. 2001;41:981-984.[americanmigrainefoundation.org]
  • Randomized control trials need to be performed. [1] Epidemiology [ edit ] The incidence of VBI increases with age and typically occurs in the seventh or eighth decade of life. [ citation needed ] Reflecting atherosclerosis, which is the most common cause[en.wikipedia.org]
  • Böttcher T. c, e · Fazekas F. c, f · Rolfs A. c, e Author affiliations a Department of Psychiatry and b Institute of Neuroradiology, University of Mainz, Mainz, c Stroke in Young Fabry Patients Study Group and d Department of Biostatistics and Clinical Epidemiology[karger.com]
  • Epidemiology A relatively uncommon form of stroke.[patient.info]
  • Epidemiology Occurrence in the United States The frequency, incidence, and prevalence of basilar artery occlusion are not known.[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke.[books.google.com]
  • Future studies are needed to evaluate the role of small vessels in the pathophysiology of BABAD.[bmcneurol.biomedcentral.com]
  • Stroke: Pathophysiology, Diagnosis, and Management. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 26. Updated by: Amit M.[medlineplus.gov]
  • Stroke: Pathophysiology, Diagnosis, and Management. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 26. Stayman A, Nogueira RG, Gupta R. Diagnosis and management of vertebrobasilar insufficiency. Curr Treat Options Cardiovasc Med. 2013;15(2):240-251.[ufhealth.org]

Prevention

  • Stay up to date on hot topics such as mechanisms of action of commonly used drugs, neuronal angiogenesis and stem cells, basic mechanisms of spasm and hemorrhage, prevention of stroke, genetics/predisposing risk factors, and much more.[books.google.com]
  • Many strokes can be prevented by medical treatment of risk factors and vascular surgery is the primary specialty that treats carotid artery plaques to prevent stroke. Plaque build up in the carotid artery can lead to TIA (mini stroke) or stroke.[surgery.arizona.edu]
  • […] to Prevent and Treat Stroke Complications ); these measures clearly improve clinical outcomes ( 1 ).[msdmanuals.com]

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