Top of the Basilar Syndrome, Clinical Case Presentation and Literature Review

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PDF Reporte de Caso (Spanish)

Keywords

Basilar Artery
Top of Basilar
Cerebral Ischemic Vascular Disease
Posterior Cerebral Infarction

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How to Cite

Top of the Basilar Syndrome, Clinical Case Presentation and Literature Review. (2022). Ictus, 3(2), e28052203006. https://doi.org/10.5281/zenodo.6590179

Abstract

Cerebral vascular disease includes hemorrhagic and ischemic pathologies, because of the risk factors that prevail in our population, the ischemic spectrum is the most common. Of the ischemic-type, only 20% compromise the posterior circulation, the behavior of this events is usually benign, however, occlusion of the basilar artery has serious neurological repercussions, hence the importance of making an early diagnosis and an early therapeutic intervention that improves the prognosis and recovery of these patients.

We present the clinical report of top basilar syndrome, a rare entity, and a review of the literature. There are no studies that report the incidence of this syndrome in Mexico, which is probably the result of underdiagnosis in our country.

PDF Reporte de Caso (Spanish)

References

Rivera-Nava SC, Miranda-Medrano LI, Pérez-Rojas JEA, Flores J de J, Rivera-García BE. INSTRUMENTOS CLÍNICOS. Rev Med Inst Mex Seguro Soc. :13.

Savitz SI, Caplan LR. Vertebrobasilar disease. N Engl J Med. 23 de junio de 2005;352(25):2618-26.

Caplan LR. «Top of the basilar» syndrome. Neurology. 1 de enero de 1980;30(1):72-72.

Caplan L. Posterior Circulation Ischemia: Then, Now, and Tomorrow: The Thomas Willis Lecture—2000. Stroke. agosto de 2000;31(8):2011-23.

Caplan LR. Occlusion of the vertebral or basilar artery. Follow up analysis of some patients with benign outcome. Stroke. mayo de 1979;10(3):277-82.

Reyes DDV, Madrigal DHF, Román DAV, Cordero DGN. Terapia Endovascular de la Trombosis de Arteria Basilar: Reporte de 2 Casos. 2019;21:5.

Mota-Vega B, Rosales-Salyano VH, Ayala-Castro DM. Síndrome de Wallenberg: presentación de un caso clínico y revisión de la literatura. Rev Med Hosp Gen Mex. 1 de octubre de 2012;75(4):219-23.

Smith WS. Intra-Arterial Thrombolytic Therapy for Acute Basilar Occlusion: Pro. Stroke. febrero de 2007;38(2):701-3.

Hornig CR, Lammers C, Büttner T, Hoffmann O, Dorndorf W. Long-term prognosis of infratentorial transient ischemic attacks and minor strokes. Stroke. febrero de 1992;23(2):199-204.

Sato M, Tanaka S, Kohama A. ?Top of the basilar? syndrome: Clinico-radiological evaluation. Neuroradiology. julio de 1987;29(4):354-9.

Voetsch B, DeWitt LD, Pessin MS, Caplan LR. Basilar Artery Occlusive Disease in the New England Medical Center Posterior Circulation Registry. Arch Neurol. 1 de abril de 2004;61(4):496.

Moufarrij NA, Little JR, Furlan AJ, Leatherman JR, Williams GW. Basilar and distal vertebral artery stenosis: long-term follow-up. Stroke. septiembre de 1986;17(5):938-42.

Devuyst G, Bogousslavsky J, Meuli R, Moncayo J, de Freitas G, van Melle G. Stroke or Transient Ischemic Attacks With Basilar Artery Stenosis or Occlusion: Clinical Patterns and Outcome. Arch Neurol. 1 de abril de 2002;59(4):567.

Nayak S. Top of Basilar Artery Syndrome: Complete Recovery Following Mechanical Thrombectomy. 2020;5:2.

Mattle HP, Arnold M, Lindsberg PJ, Schonewille WJ, Schroth G. Basilar artery occlusion. The Lancet Neurology. noviembre de 2011;10(11):1002-14.

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