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NEUROLOGY 2003;61:1421-1423
© 2003 American Academy of Neurology
Brief Communications

Endovascular embolectomy of acute basilar artery occlusion

W. Yu, MD, PhD, D. Binder, MD, PhD, A. Foster-Barber, MD, PhD, R. Malek, MD, W. S. Smith, MD, PhD and R. T. Higashida, MD

From the Departments of Neurology (Drs. Yu, Foster-Barber, and Smith), Neurosurgery (Dr. Binder), and Neurointerventional Radiology (Drs. Malek and Higashida), University of California, San Francisco, CA.

Address correspondence and reprint requests to Dr. Wengui Yu, Neurovascular Service, University of California, San Francisco, 505 Parnassus Avenue, Box 0114, San Francisco, CA 94143; e-mail: wyu6228{at}itsa.ucsf.edu, or Dr. Randall T. Higashida, Division of Neurointerventional Radiology, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143; e-mail: Randall.Higashida@radiology.ucsf.edu

Acute basilar artery occlusion has a mortality rate approaching 90%. The authors describe a case of acute basilar artery occlusion managed successfully with endovascular embolectomy. A 31-year-old man sought treatment for confusion, dysarthria, and right-sided weakness. He soon became unresponsive and was found to have a vertebral artery dissection and an associated basilar artery embolism. The dissection was managed with endovascular stenting, and the basilar artery embolus was removed with a clot retriever at 7 hours. The patient recovered without neurologic deficit.

Received September 3, 2003. Accepted in final form September 22, 2003.




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