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How do you treat a mild basilar artery occlusion stroke?

In light of the recent publication by Xiao et al., PMID 40832712.
2 Answers
Mednet Member
Mednet MemberInvited Expert
Neurology · HCA Houston Healthcare
Answered on · Updated on

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 but. I...

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Mednet Member
Mednet MemberInvited Expert
Neurology · NYU
Answered on

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...

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