Posterior circulation cerebrovascular syndromes: diagnosis and management.

Schulz, Ursula G; Fischer, Urs (2016). Posterior circulation cerebrovascular syndromes: diagnosis and management. Journal of neurology, neurosurgery and psychiatry, 88(1), jnnp-2015. BMJ Publishing Group 10.1136/jnnp-2015-311299

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One in five strokes affects the posterior circulation. Diagnosing posterior circulation stroke can be challenging, as the vascular anatomy can be variable, and because presenting symptoms are often non-specific and fluctuating. Nevertheless, making the correct diagnosis is important, as these strokes have a high chance of recurrence, can be life threatening, and can lead to equally life-threatening complications. Investigation and management largely follow those for stroke in general, although some specific differences exist. These include the preferred use of MRI for diagnosing posterior fossa lesions, the management of basilar artery thrombosis, which may have a longer time window for recanalisation therapy, and the use of endovascular therapies for secondary prevention, which, so far, have not shown any benefit in the treatment of vertebral or basilar artery stenosis. In this review, we summarise the anatomy, aetiology and presentation of posterior circulation stroke, and discuss current approaches to management.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Fischer, Urs

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0022-3050

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Stefanie Hetzenecker

Date Deposited:

28 Jul 2016 16:18

Last Modified:

15 Jan 2017 02:09

Publisher DOI:

10.1136/jnnp-2015-311299

PubMed ID:

27071644

Uncontrolled Keywords:

CEREBROVASCULAR DISEASE; STROKE

BORIS DOI:

10.7892/boris.84407

URI:

https://boris.unibe.ch/id/eprint/84407

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