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Cerebral Infarction, Basilar Thrombosis
Edward P. Quigley, III, MD, PhD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Basilar artery (BA) infarct
          • Synonyms

            • Basilar artery stroke, "locked in" syndrome
          • Definitions

            • Infarct of pons and midbrain secondary to basilar artery occlusion

          IMAGING

          • Imaging Anatomy

            • General Features

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      CLINICAL ISSUES

                      • Presentation

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            • Image Interpretation Pearls

                              Selected References

                              1. Feng W et al: Meningovascular syphilis with fatal vertebrobasilar occlusion. Am J Med Sci. 338(2):169-71, 2009
                              2. Gaikwad SB et al: Intra-arterial thrombolysis in basilar artery occlusions combination of intra-arterial thrombolytics and Gp IIb/IIIa inhibitors in basilar artery thrombosis. Neurol India. 57(3):313-9, 2009
                              3. Goldmakher GV et al: Hyperdense basilar artery sign on unenhanced CT predicts thrombus and outcome in acute posterior circulation stroke. Stroke. 40(1):134-9, 2009
                              4. Jickling G et al: Excellent response to thrombolysis following prolonged basilar artery occlusion with extensive ischemic changes on MRI. Clin Neurol Neurosurg. Epub ahead of print, 2009
                              5. Puetz V et al: CT Angiography Source Images Predict Final Infarct Extent in Patients with Basilar Artery Occlusion. AJNR Am J Neuroradiol. Epub ahead of print, 2009
                              6. Raphaeli G et al: Multimodal reperfusion therapy in patients with acute basilar artery occlusion. Neurosurgery. 65(3):548-52; discussion 552-3, 2009
                              7. Schonewille WJ et al: Treatment and outcomes of acute basilar artery occlusion in the Basilar Artery International Cooperation Study (BASICS): a prospective registry study. Lancet Neurol. 8(8):724-30, 2009
                              8. Sung CY et al: Central hyperthermia in acute stroke. Eur Neurol. 62(2):86-92, 2009
                              9. Lin L et al: Acute basilar artery occlusion: topographic study of infarcts. Neurol Res. 30(4):341-3, 2008
                              10. Renard D et al: MRI-based score for acute basilar artery thrombosis. Cerebrovasc Dis. 25(6):511-6, 2008
                              11. Tomycz ND et al: Extensive brainstem ischemia on neuroimaging does not preclude meaningful recovery from locked-in syndrome: two cases of endovascularly managed basilar thrombosis. J Neuroimaging. 18(1):15-7, 2008
                              12. du Mesnil de Rochemont R et al: Magnetic resonance imaging in basilar artery occlusion. Arch Neurol. 59(3):398-402, 2002
                              13. Bodensteiner JB et al: Basilar artery occlusion and the dense artery sign in the newborn. Clin Pediatr (Phila). 37(9):551-4, 1998
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Terminology

                                • Imaging

                                  • Top Differential Diagnoses

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Abbreviations

                                        • Basilar artery (BA) infarct
                                      • Synonyms

                                        • Basilar artery stroke, "locked in" syndrome
                                      • Definitions

                                        • Infarct of pons and midbrain secondary to basilar artery occlusion

                                      IMAGING

                                      • Imaging Anatomy

                                        • General Features

                                          • CT Findings

                                            • MR Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Treatment

                                                      DIAGNOSTIC CHECKLIST

                                                      • Consider

                                                        • Image Interpretation Pearls

                                                          Selected References

                                                          1. Feng W et al: Meningovascular syphilis with fatal vertebrobasilar occlusion. Am J Med Sci. 338(2):169-71, 2009
                                                          2. Gaikwad SB et al: Intra-arterial thrombolysis in basilar artery occlusions combination of intra-arterial thrombolytics and Gp IIb/IIIa inhibitors in basilar artery thrombosis. Neurol India. 57(3):313-9, 2009
                                                          3. Goldmakher GV et al: Hyperdense basilar artery sign on unenhanced CT predicts thrombus and outcome in acute posterior circulation stroke. Stroke. 40(1):134-9, 2009
                                                          4. Jickling G et al: Excellent response to thrombolysis following prolonged basilar artery occlusion with extensive ischemic changes on MRI. Clin Neurol Neurosurg. Epub ahead of print, 2009
                                                          5. Puetz V et al: CT Angiography Source Images Predict Final Infarct Extent in Patients with Basilar Artery Occlusion. AJNR Am J Neuroradiol. Epub ahead of print, 2009
                                                          6. Raphaeli G et al: Multimodal reperfusion therapy in patients with acute basilar artery occlusion. Neurosurgery. 65(3):548-52; discussion 552-3, 2009
                                                          7. Schonewille WJ et al: Treatment and outcomes of acute basilar artery occlusion in the Basilar Artery International Cooperation Study (BASICS): a prospective registry study. Lancet Neurol. 8(8):724-30, 2009
                                                          8. Sung CY et al: Central hyperthermia in acute stroke. Eur Neurol. 62(2):86-92, 2009
                                                          9. Lin L et al: Acute basilar artery occlusion: topographic study of infarcts. Neurol Res. 30(4):341-3, 2008
                                                          10. Renard D et al: MRI-based score for acute basilar artery thrombosis. Cerebrovasc Dis. 25(6):511-6, 2008
                                                          11. Tomycz ND et al: Extensive brainstem ischemia on neuroimaging does not preclude meaningful recovery from locked-in syndrome: two cases of endovascularly managed basilar thrombosis. J Neuroimaging. 18(1):15-7, 2008
                                                          12. du Mesnil de Rochemont R et al: Magnetic resonance imaging in basilar artery occlusion. Arch Neurol. 59(3):398-402, 2002
                                                          13. Bodensteiner JB et al: Basilar artery occlusion and the dense artery sign in the newborn. Clin Pediatr (Phila). 37(9):551-4, 1998