Basilar Artery Thrombosis Questions & Answers

Updated: Jan 11, 2019
  • Author: Salvador Cruz-Flores, MD, MPH, FAHA, FCCM, FAAN, FACP, FANA; Chief Editor: Helmi L Lutsep, MD  more...
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Questions & Answers

Overview

What is basilar artery thrombosis?

What are the possible complications of basilar artery thrombosis?

What is the anatomy of the basilar artery relevant to thrombosis?

What is the anatomy of the anterior inferior cerebellar artery relevant to basilar artery thrombosis?

What is the anatomy of the posterior cerebral artery relevant to basilar artery thrombosis?

What is the pathophysiology of basilar artery thrombosis?

What causes basilar artery thrombosis?

What is the prevalence of basilar artery thrombosis?

Which patient groups have the highest prevalence of basilar artery thrombosis?

What is the prognosis of basilar artery thrombosis?

What are the prognostic factors of basilar artery thrombosis?

How does recanalization affect the prognosis of basilar artery thrombosis?

How does conventional therapy with antiplatelets and/or anticoagulation affect the prognosis of basilar artery thrombosis?

Presentation

Which clinical history findings are characteristic of basilar artery thrombosis?

What are the signs and symptoms of basilar artery thrombosis?

What are the clinical manifestations of basilar artery thrombosis?

Which physical findings are characteristic of basilar artery thrombosis?

Which physical findings are characteristic of locked-in syndrome in basilar artery thrombosis?

Which physical findings are characteristic of top-of-the-basilar syndrome in basilar artery thrombosis?

Which physical findings are characteristic of pontine warning syndrome in basilar artery thrombosis?

What are the oculomotor findings of basilar artery thrombosis?

What are the signs and symptoms of pontine ischemia in basilar artery thrombosis?

DDX

Which conditions should be included in the differential diagnoses of basilar artery thrombosis?

What are the differential diagnoses for Basilar Artery Thrombosis?

Workup

What is the role of lab tests in the workup of basilar artery thrombosis?

When is screening for procoagulant conditions included in the workup of basilar artery thrombosis?

When are creatine kinase levels, cardiac isoenzyme values, and troponin levels obtained in the workup of basilar artery thrombosis?

What is the role of CT scanning of the head in the workup of basilar artery thrombosis?

What is the functional outcome score for basilar artery thrombosis?

What is the role of MRI and MRA in the workup of basilar artery thrombosis?

What is the DWI lesion score for basilar artery thrombosis?

What is the role of ultrasonography in the workup of basilar artery thrombosis?

What is the role of ECG in the workup of basilar artery thrombosis?

What is the role of echocardiography in the workup of basilar artery thrombosis?

What is the role of catheter angiography in the workup of basilar artery thrombosis?

Treatment

How is basilar artery thrombosis treated?

What is the role of sedation and paralysis in the treatment of basilar artery thrombosis?

Which specialist consultations are beneficial to patients with basilar artery thrombosis?

Which dietary modifications are used in the treatment of basilar artery thrombosis?

Which activity modifications are used in the treatment of basilar artery thrombosis?

What is the role of hemodynamic management in the treatment of basilar artery thrombosis?

How is hypertension treated in basilar artery thrombosis?

How is hypotension treated in basilar artery thrombosis?

What is the role of a pulmonary artery catheter in the treatment of basilar artery thrombosis?

What is the role of respiratory management in the treatment of basilar artery thrombosis?

What is the role of mechanical ventilation in the treatment of basilar artery thrombosis?

What is the role of tPA in the treatment of basilar artery thrombosis?

What is the role of intra-arterial thrombolysis in the treatment of basilar artery thrombosis?

Which thrombolytic agents are used in the treatment of basilar artery thrombosis?

What are the guidelines on intra-arterial thrombolysis for basilar artery thrombosis?

What is the role of anticoagulant and antiplatelet therapies in the treatment of basilar artery thrombosis?

What is the role of angioplasty in the treatment of basilar artery thrombosis?

What is the role of embolectomy in the treatment of basilar artery thrombosis?

What is the role of thrombus retrieval in the treatment of basilar artery thrombosis?

What is the role of rehabilitation therapies in the treatment of basilar artery thrombosis?

How is stroke prevented in patients with basilar artery thrombosis?

Medications

Which medications are used to treat basilar artery thrombosis?

Which medications in the drug class Vasopressors are used in the treatment of Basilar Artery Thrombosis?

Which medications in the drug class Antiplatelet Agents, Cardiovascular are used in the treatment of Basilar Artery Thrombosis?

Which medications in the drug class Anticoagulant Agents are used in the treatment of Basilar Artery Thrombosis?

Which medications in the drug class Thrombolytics are used in the treatment of Basilar Artery Thrombosis?

Which medications in the drug class Antihypertensive agents are used in the treatment of Basilar Artery Thrombosis?