Abstract

Posterior circulation strokes are potentially devastating events that carry a significant risk of morbidity and mortality. Acute basilar artery occlusion stroke is a rare posterior circulation stroke that needs emergent management. We report the case of a 67-year-old woman who developed an acute basilar artery occlusion. We achieved complete recanalization of the occluded basilar artery and its branches with endovascular mechanical thrombectomy. It is possible to achieve excellent results with mechanical thrombectomy in acute basilar artery occlusion if timely diagnosis and reperfusion can be done. We are not aware of any previous publication from Nepal describing this technique in acute basilar artery occlusion.

Highlights

  • Acute basilar artery occlusion (BAO) is a devastating subtype of posterior circulation stroke

  • We report a patient with an acute BAO who was successfully treated with mechanical thrombectomy (MT)

  • We are not aware of any previous publication from Nepal describing this technique in acute BAO

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Summary

Introduction

Acute basilar artery occlusion (BAO) is a devastating subtype of posterior circulation stroke. It carries a risk of significant morbidity and mortality.1 Intravenous thrombolysis is the conventional standard-of-care in eligible patients with acute BAO and other strokes of the posterior circulation; thrombolysis alone may not yield satisfactory reperfusion in many patients.1 Newer evidences suggest that mechanical thrombectomy (MT) improves recanalization and clinical outcome in posterior circulation strokes.

Results
Conclusion
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