Vertebral artery dissection complicated by basilar artery occlusion successfully treated with intra-arterial thrombolysis: Three case reports

  • Cerrato P
  • Berardino M
  • Bottacchi E
 et al. 
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Abstract

Cervical artery dissection is an important cause of stroke in young patients and accounts of 10%-20% of stroke or TIA in patients aged less than 50 years. Basilar artery occlusion (BAO) is an infrequent cause of acute stroke, which invariably leads to death or long-term disability if not recanalized. We describe three patients with BAO caused by vertebral dissection, successfully treated with intra-arterial thrombolysis. The lysis of the occluding embolus was obtained by injection of the thrombolytic drug directly or near the thrombus without haemor-rhagic complications. Our cases confirm the safety and efficacy of intra-arterial thrombolysis in patients with BAO due to a vertebral artery dissection. © 2008 Springer-Verlag.

Author-supplied keywords

  • adult
  • antithrombocytic agent
  • artery dissection
  • artery occlusion
  • article
  • artificial ventilation
  • ataxia
  • basilar artery
  • blood clot lysis
  • case report
  • cerebrovascular accident
  • clinical effectiveness
  • consciousness level
  • digital subtraction angiography
  • diplopia
  • dizziness
  • dysarthria
  • female
  • gaze paralysis
  • headache
  • hearing impairment
  • hemiplegia
  • human
  • international normalized ratio
  • intubation
  • male
  • motor dysfunction
  • neck pain
  • nuclear magnetic resonance imaging
  • paresthesia
  • quadriplegia
  • recanalization
  • respiratory arrest
  • safety
  • vertigo
  • vomiting
  • warfarin

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Authors

  • P Cerrato

  • M Berardino

  • E Bottacchi

  • G Corso

  • A Lentini

  • G Bosco

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