Stroke, Vol 8, 383-390, Copyright © 1977 by American Heart Association
CR Archer and S Horenstein
Twenty patients with basilar artery occlusion and three patients with
bilateral vertebral artery occlusions have been studied. The clinical data
at the time of the ictus and the long-term follow-up data have been
correlated with the site and extent of the basilar artery occlusion and the
type of collateral flow. Patients with hypertension and with coma at the
outset have a grave prognosis. The presence of surface collateral flow may
not indicate adequate perfusion of the paramedian penetrating branches of
the basilar artery or the thalamoperforating branches of the posterior
communicating or posterior cerebral arteries. It is these vessels which
supply the territory regulating the level of consciousness and containing
some of the control mechanisms for respiratory function.
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Basilar artery occlusion: clinical and radiological correlation
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