Imaging in acute basilar artery thrombosis

M. Castillo, Steven Falcone, T. P. Naidich, B. Bowen, Robert Quencer

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The aim of this study was to review the imaging features in acute (<24 h) basilar artery thrombosis. CT and MR studies in 11 patients with clinical diagnosis of acute basilar artery thrombosis were retrospectively reviewed. MR angiography was obtained in 4 patients. Correlation with clinical symptoms was performed. Multiple cranial nerve palsies and hemiparesis were the most common clincal symptoms at presentation. CT revealed hyperdense basilar arteries (n=7) and hypodensities in the posterior circulation territory (n=8). In one instance, the infarction was hemorrhagic. MR imaging showed absence of flow void within the basilar in 6 patients and MRA (using both PC and TOF techniques) confirmed absence of blood flow in 4 basilar arteries. One week after presentation, 5 patients died. Autopsy was obtained in 1 case and confirmed the diagnosis of basilar artery thrombosis. Basilar artery thrombosis has fairly typical imaging features by both CT and MR. MRA may be used to confirm the diagnosis. Prompt recognition may lead to early thrombolytic treatment and may improve survival.

Original languageEnglish
Pages (from-to)426-429
Number of pages4
JournalNeuroradiology
Volume36
Issue number6
DOIs
StatePublished - Aug 1 1994

Fingerprint

Basilar Artery
Thrombosis
Cranial Nerve Diseases
Paresis
Infarction
Autopsy
Angiography
Survival

Keywords

  • Basilar artery thrombosis
  • Infarct
  • Magnetic resonance angiography
  • Magnetic resonance imaging
  • Stroke

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

Cite this

Imaging in acute basilar artery thrombosis. / Castillo, M.; Falcone, Steven; Naidich, T. P.; Bowen, B.; Quencer, Robert.

In: Neuroradiology, Vol. 36, No. 6, 01.08.1994, p. 426-429.

Research output: Contribution to journalArticle

Castillo, M. ; Falcone, Steven ; Naidich, T. P. ; Bowen, B. ; Quencer, Robert. / Imaging in acute basilar artery thrombosis. In: Neuroradiology. 1994 ; Vol. 36, No. 6. pp. 426-429.
@article{a7cf25c53b374e918b20e1321490d409,
title = "Imaging in acute basilar artery thrombosis",
abstract = "The aim of this study was to review the imaging features in acute (<24 h) basilar artery thrombosis. CT and MR studies in 11 patients with clinical diagnosis of acute basilar artery thrombosis were retrospectively reviewed. MR angiography was obtained in 4 patients. Correlation with clinical symptoms was performed. Multiple cranial nerve palsies and hemiparesis were the most common clincal symptoms at presentation. CT revealed hyperdense basilar arteries (n=7) and hypodensities in the posterior circulation territory (n=8). In one instance, the infarction was hemorrhagic. MR imaging showed absence of flow void within the basilar in 6 patients and MRA (using both PC and TOF techniques) confirmed absence of blood flow in 4 basilar arteries. One week after presentation, 5 patients died. Autopsy was obtained in 1 case and confirmed the diagnosis of basilar artery thrombosis. Basilar artery thrombosis has fairly typical imaging features by both CT and MR. MRA may be used to confirm the diagnosis. Prompt recognition may lead to early thrombolytic treatment and may improve survival.",
keywords = "Basilar artery thrombosis, Infarct, Magnetic resonance angiography, Magnetic resonance imaging, Stroke",
author = "M. Castillo and Steven Falcone and Naidich, {T. P.} and B. Bowen and Robert Quencer",
year = "1994",
month = "8",
day = "1",
doi = "10.1007/BF00593675",
language = "English",
volume = "36",
pages = "426--429",
journal = "Neuroradiology",
issn = "0028-3940",
publisher = "Springer Verlag",
number = "6",

}

TY - JOUR

T1 - Imaging in acute basilar artery thrombosis

AU - Castillo, M.

AU - Falcone, Steven

AU - Naidich, T. P.

AU - Bowen, B.

AU - Quencer, Robert

PY - 1994/8/1

Y1 - 1994/8/1

N2 - The aim of this study was to review the imaging features in acute (<24 h) basilar artery thrombosis. CT and MR studies in 11 patients with clinical diagnosis of acute basilar artery thrombosis were retrospectively reviewed. MR angiography was obtained in 4 patients. Correlation with clinical symptoms was performed. Multiple cranial nerve palsies and hemiparesis were the most common clincal symptoms at presentation. CT revealed hyperdense basilar arteries (n=7) and hypodensities in the posterior circulation territory (n=8). In one instance, the infarction was hemorrhagic. MR imaging showed absence of flow void within the basilar in 6 patients and MRA (using both PC and TOF techniques) confirmed absence of blood flow in 4 basilar arteries. One week after presentation, 5 patients died. Autopsy was obtained in 1 case and confirmed the diagnosis of basilar artery thrombosis. Basilar artery thrombosis has fairly typical imaging features by both CT and MR. MRA may be used to confirm the diagnosis. Prompt recognition may lead to early thrombolytic treatment and may improve survival.

AB - The aim of this study was to review the imaging features in acute (<24 h) basilar artery thrombosis. CT and MR studies in 11 patients with clinical diagnosis of acute basilar artery thrombosis were retrospectively reviewed. MR angiography was obtained in 4 patients. Correlation with clinical symptoms was performed. Multiple cranial nerve palsies and hemiparesis were the most common clincal symptoms at presentation. CT revealed hyperdense basilar arteries (n=7) and hypodensities in the posterior circulation territory (n=8). In one instance, the infarction was hemorrhagic. MR imaging showed absence of flow void within the basilar in 6 patients and MRA (using both PC and TOF techniques) confirmed absence of blood flow in 4 basilar arteries. One week after presentation, 5 patients died. Autopsy was obtained in 1 case and confirmed the diagnosis of basilar artery thrombosis. Basilar artery thrombosis has fairly typical imaging features by both CT and MR. MRA may be used to confirm the diagnosis. Prompt recognition may lead to early thrombolytic treatment and may improve survival.

KW - Basilar artery thrombosis

KW - Infarct

KW - Magnetic resonance angiography

KW - Magnetic resonance imaging

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=0028041159&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028041159&partnerID=8YFLogxK

U2 - 10.1007/BF00593675

DO - 10.1007/BF00593675

M3 - Article

C2 - 7991083

AN - SCOPUS:0028041159

VL - 36

SP - 426

EP - 429

JO - Neuroradiology

JF - Neuroradiology

SN - 0028-3940

IS - 6

ER -