Treating Basilar-Artery Stroke - Case reports of favorable outcomes with endovascular therapy in patients with stroke caused by basilar-artery occlusion have impeded recruitment in randomized, controlled trials. In a meta-analysis and in a prospective registry, the majority of patients underwent endovascular therapy, but neither suggested a benefit over intravenous thrombolysis. New research findings are summarized in a short video. https://nej.md/2RYgUUp | The New England Journal of Medicine
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Basilar trunk aneurysms are a long way in; we are called on to clip these only rarely. But we have the know-how for the young patient seeking a durable cure: extended retrosigmoid craniotomy, open the cistern + its triangles, & in this case, free dense adhesions around the aneurysm to place the clip blades…
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Radiology cases🧨 on Instagram: "🥵 : Giant basilar aneurysm with partial mural thrombosis is seen causing pressure effect on third ventricle resulting in non communicating hydrocephalus"
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