Posterior circulation ischaemic stroke-a review part I: anatomy, aetiology and clinical presentations.

Basilar artery occlusion Posterior cerebral ischaemia Vertebrobasilar arterial system

Journal

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 15 11 2018
accepted: 10 06 2019
pubmed: 22 6 2019
medline: 8 2 2020
entrez: 22 6 2019
Statut: ppublish

Résumé

Posterior circulation ischaemia is a clinicopathological condition with complex symptomatology associated with an infarction within the vertebrobasilar arterial system. Posterior circulation strokes account for about 20-25% of all ischemic strokes and remain a significant cause of patient disability and mortality. Diagnosis can be challenging because presenting symptoms are often non-focal and because there is a substantial overlap in symptoms and signs of ischaemia in the anterior circulation. Despite better imaging techniques, diagnosis and treatment of life-threatening conditions, such as basilar artery occlusions, are often delayed. Therefore, early detection of symptoms and causes of posterior circulation ischaemia is essential for choosing the most appropriate therapy. In this review, we summarise the anatomy, aetiology, typical presentations and characteristic findings of common strokes resulting from disease in the vertebrobasilar arterial system.

Identifiants

pubmed: 31222544
doi: 10.1007/s10072-019-03977-2
pii: 10.1007/s10072-019-03977-2
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1995-2006

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Auteurs

Marco Sparaco (M)

Division of Neurology with Stroke Unit, Department of Neurosciences, A.O. "San Pio", P.O. "G. Rummo",, Via Dell'Angelo 1, 82100, Benevento (BN), MS, Italy. marcosparaco@alice.it.

Ludovico Ciolli (L)

Stroke Unit, Neurology Unit, Department of Neuroscience, Ospedale Civile S. Agostino-Estense, Modena University Hospital, Baggiovara, LC, Italy.

Andrea Zini (A)

UOC Neurologia e Rete Stroke metropolitana, Ospedale Maggiore, IRCCS Istituto di Scienze Neurologiche di Bologna, Bologna, AZ, Italy.

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Classifications MeSH