Acute Basilar Artery Occlusion: Need for an Early Diagnosis in a Devastating Disease

Hyperdense basilar artery sign—a reliable sign of basilar artery occlusion

“…Reader 3 showed the most pronounced amelioration from "fair" before to "good" diagnostic predictiveness after BA attenuation measurements. Coding I=0, 1 vs. 2="no" and "don't know" vs. "yes" regarding presence of BAO, coding II=0 vs. 1, 2="no" vs. "don't know" and "yes" regarding presence of BAO PFA posterior fossa artifacts, BA basilar artery, AUC area under curve, ROI region of interest Moreover, many patients with BAO are primarily admitted to community hospitals without a specialized stroke unit or neurologists on-call [17,18], and symptoms of posterior circulation stroke might be misinterpreted or missed [19].…”

The importance of clinical signs as well as radiological findings in the diagnosis of incomplete locked-in syndrome

“…Having a premorbid medical history of hypertension and diabetes, the patient had a full-blown disease picture within 24 h, suggesting progressive thrombosis of the basilar artery as the culprit event. The prognosis of this condition is poor even at specialized stroke units unless the basilar artery can be recanalized early in the course [4]. Similar cases have been reported in the literature [5].…”

Workflow Optimization in Vertebrobasilar Occlusion

“…Still, many cases remain undiagnosed or incorrectly diagnosed [19]. Rapid recanalization by early percutaneous treatment is the only chance to decrease the mortality and achieve an acceptable neurological outcome [20,21]. However, there is still no proven standard treatment modality in VBO [7].…”