Dramatic motor recovery following recanalization in bilateral pontine infarct with restricted diffusion

Mahajan, Arnav; Komonchan, Surasak; Songkhla, Krida Na; Boontaworn, Anchulee; Nosai, Supalak

doi:10.22541/au.158584263.35423958

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Results of the BEST 8 and BASILAR 9 studies suggested that EVT may decrease morbidity and death in BAO, up to 24 h of onset. There are several reports of patients with BAO, extensive baseline ischemia, long OTT, and severe presentation, who had good functional outcomes after EVT and intensive rehabilitation 38‐41 . This poses as an additional clinical dilemma for decision‐making because, despite unfavorable prognosis according to clinical and radiological variables, some patients with BAO can achieve functional independence 41 .…”

Section: Discussionmentioning

confidence: 99%

“…There are several reports of patients with BAO, extensive baseline ischemia, long OTT, and severe presentation, who had good functional outcomes after EVT and intensive rehabilitation 38‐41 . This poses as an additional clinical dilemma for decision‐making because, despite unfavorable prognosis according to clinical and radiological variables, some patients with BAO can achieve functional independence 41 . A meta‐analysis 27 concluded that recanalization has a significant effect on BAO outcomes (NNT 2.5 to prevent death and disability).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of acute basilar artery occlusion—real‐world experience in a middle‐income country

Guerra

Silva

Perissinoti

et al. 2021

Acta Neuro Scandinavica

View full text Add to dashboard Cite

Objectives Our goal was to describe outcomes in a single‐center, real‐world series of patients with acute basilar artery occlusion in a middle‐income country. In addition, we assessed potential outcome predictors. Material and Methods Data from 28 patients were retrospectively reviewed. The primary outcome was death until last follow‐up. Other outcomes were rates of favorable outcome until last follow‐up and rates of intracranial hemorrhage. Outcomes were compared in subgroups according to several variables, including reperfusion (REP group) or no reperfusion (NOREP group) interventions, with chi‐squared, Fisher's exact test, or Mann–Whitney tests. Results The rate of overall intrahospital death was 46%. Death until last follow‐up occurred in 8/17 (47%) in the REP and in 7/11 (63%) of the NOREP group. Favorable outcomes were observed in 35.7% of the patients: 8/17 (47%) in REP and in 2/11 (18.1%) in NOREP. NIH stroke scale scores were significantly lower in patients with favorable outcomes. Intracranial hemorrhage was observed in 6/28 (21.4%) of the patients (all in REP group). Twenty patients were treated with anticoagulants within the first 24 h. No hemorrhage was observed in those treated with enoxaparin, while three occurred in subjects treated with unfractionated heparin. Conclusion Together with other series, our results underscore the relevance of NIH stroke scale at admission as a prognostic marker, the importance of reperfusion to improve outcomes, and the need of clinical trials to compare the impact of treatment with anticoagulants within first 24 h in basilar artery occlusion.

show abstract

Section: Discussionmentioning

confidence: 99%