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Proceedings SNO “Percorsi clinici in Neuroscienze”

A B Figure 1. Computed
tomography angiogra-
phy, coronal and sagit-
tal MIP reconstruc-
tions (A-B). Cerebral
angiograms in AP and
LL projections (C-D)
showing occlusion of
the mid BA.

C D

Final angiograms confirmed patency of the BA and Follow-up at 3 months showed no residual deficits
re-establishment of flow within AICAs, SCAs and and complete recovery.
the left posterior cerebral artery.
After the anaesthesia had worn off, the patient’s
NIHSS score was 1. DISCUSSION
Post-procedural CT of the head excluded intracranial
haemorrhage and the patient started a dual anti- We report a case of acute stroke due to BA occlusion,
platelet therapy, with a loading dose of ASA and a successfully treated with acute thrombectomy fol-
P2Y12 inhibitor, 4 hours before stopping the infusion lowed by immediate stenting for the presence of an
of Aggrastat. underlying BA stenosis.
Magnetic resonance imaging confirmed patency of The posterior cerebral circulation depends on one
the stent and showed a focal infarct of the superior principal vessel, the BA that supplies vital structures
semilunar lobule of the cerebellum. such as the brainstem; therefore BA strokes have a
Patient was discharged after 7 days of hospitalization, significantly worse outcome with high rate of mor-
with an NIHSS score of 0. bidity and mortality in comparison to anterior circu-

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