I agree with the prior post and would like to add some additional insight from the interventional lens.
As mentioned, NIHSS isn’t well-suited to posterior circulation strokes. From the intervention side, basilar occlusion can look deceptively mild on paper, but the outcomes are often anything...
In general, I tend to be more aggressive with the treatment of patients with basilar/posterior circulation strokes because the collateral vasculature is not great, and the possibility for progression of disease and severe disability is high. I think we should always remember that the poster circulat...