Embolectomy in Patient with Basilar Artery Occlusion and Poor Neurological Exam

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Author Info

Hekmat Zarzour Joshua Weinberg Michael McAree Neal Joshi Pascal Jabbour Robert Rosenwasser

Corresponding Author

Hekmat Zarzour
Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, PA

A B S T R A C T

Background: Acute basilar artery occlusion (BAO) is generally associated with a poor prognosis and mortality rates up to 85% in non-recanalized patients. Emergent recanalization is essential to improve outcomes in this patient subgroup. Objective: To show that good patient outcomes, modified Rankin score (mRS) 0-2, can be achieved in patients presenting with acute BAO and poor or no neurological exam. Methods: We retrospectively analyzed the hospital course of a patient presenting with acute BAO and absent brainstem reflexes who underwent emergent revascularization. Results: The patient was discharge with cranial nerve III palsy but was otherwise neurologically intact. Conclusions: Patients presenting with acute BAO and poor or no neurological exam should be considered for emergent endovascular intervention. Despite the high risk of morbidity and mortality, this subgroup of patients can still have good functional outcomes.

Article Info

Article Type

Case Report

Publication history

Received: Tue 29, Oct 2019
Accepted: Mon 25, Nov 2019
Published: Fri 13, Dec 2019

Copyright

© 2023 Hekmat Zarzour. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2019.06.07