Occlusion of the basilar artery

[Thanhtha]

A 68-year-old Vietnamese man with history of hypertension and ischemic heart disease presented to ED of Can Tho SIS Hospital with sudden-onset right-sided weakness and slurred speech starting 7 hours before the presentation.
Clouding of consciousness and 2/5 grade of muscle strength testing were noted.
He got normal pupil sizes and the pupillary light reflex.
He denied dyspnea, dysphagia, fever, chest pain or palpitations
His vital signs include temp: 37.5 degrees Celsius, HR: 86 bpm, SpO2: 98%, BP: 150/80 mmHg, RR: 24 per minute
His NIHSS score was calculated as 7.
MRI angiogram of head and neck reported an occlusion of the basilar artery and PCA both sides , and severe stenosis of left ICA.
Let's discuss about this case !!!

 

[lmthang]

Why dont your ekips stent in AIS for this case?

 

[Thanhtha]

Our team carried out consultation and he was taken emergently to DSA unit. Mechanical thrombectomy with stent retriever and suction aspiration was performed successfully. A large thrombus was aspirated from the basilar artery. The patient experienced an improvement in symptoms with only mild weakness a week post treatment.