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Vertebrobasilar insufficiency classification

Introduction

Overview

Overview

There isn’t classification about the VBI yet, but there are three phenotypes of the basilar artery occlusion depending on the modal of initial symptoms.

Classification

  • phenotype 1: patients present progressive brain stemsymptoms(for example: vertigo, doublevision, dysarthria, hemiparesis, or paresthesia) without any prodromal symptoms.[1]
  • phenotype 2: patients present nonspecific, such as nausea, tinnitus, hearing loss, and vertigo, which can precede the onset of the monophasic, progressive deficits by days, but typically by several weeks.[2][3]
  • phenotype 3: patients present symptoms with onset of severe, often bilateral motor weakness, ophtalmoplegia, and coma. The patients may have a severe outcome if basilar artery cannot be recanalized fast.[1]
References

References

  1. ↑ 1.0 1.1 Lindsberg PJ, Sairanen T, Strbian D, Kaste M (2012) treatment of basilar artery occlusion. Ann N Y Acad Sci 1268 ():35-44. DOI:10.1111/j.1749-6632.2012.06687.x PMID:22994219
  2. ↑ Ferbert A, Brückmann H, Drummen R (1990)Clinical features of proven basilar artery occlusion. Stroke 21 (8):1135-42. PMID: 2389292
  3. ↑ Baird TA, Muir KW, Bone I (2004) Basilar artery occlusion. Neurocrit Care 1 (3):319-29. DOI:10.1385/NCC:1:3:319 PMID:16174929

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]