“Basilar Web” Causing Basilar Branch Infarction

Research output: Contribution to journalArticle

Abstract

We present a young patient with no vascular risk factors with a basilar branch infarction secondary to a shelf-like filling defect of the basilar artery. This defect was present and unchanged on repeat imaging and determined to be most consistent with a basilar web. Similar to carotid webs, a basilar web is believed to be an area of focal intimal fibroplasia that increases the risk of brainstem infarction. Focal fibroplasia of the posterior circulation should be considered when evaluating young adults with posterior circulation strokes of otherwise undetermined cause.

Original languageEnglish (US)
Article number104366
JournalJournal of Stroke and Cerebrovascular Diseases
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Brain Stem Infarctions
Tunica Intima
Basilar Artery
Infarction
Young Adult
Stroke
vascular factor

Keywords

  • Basilar artery
  • Basilar web
  • Carotid web
  • Pontine perforator
  • Stroke
  • Stroke in the young

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

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title = "“Basilar Web” Causing Basilar Branch Infarction",
abstract = "We present a young patient with no vascular risk factors with a basilar branch infarction secondary to a shelf-like filling defect of the basilar artery. This defect was present and unchanged on repeat imaging and determined to be most consistent with a basilar web. Similar to carotid webs, a basilar web is believed to be an area of focal intimal fibroplasia that increases the risk of brainstem infarction. Focal fibroplasia of the posterior circulation should be considered when evaluating young adults with posterior circulation strokes of otherwise undetermined cause.",
keywords = "Basilar artery, Basilar web, Carotid web, Pontine perforator, Stroke, Stroke in the young",
author = "Esenwa, {Charles C.} and Labovitz, {Daniel L.} and Caplan, {Louis R.}",
year = "2019",
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language = "English (US)",
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AU - Esenwa, Charles C.

AU - Labovitz, Daniel L.

AU - Caplan, Louis R.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - We present a young patient with no vascular risk factors with a basilar branch infarction secondary to a shelf-like filling defect of the basilar artery. This defect was present and unchanged on repeat imaging and determined to be most consistent with a basilar web. Similar to carotid webs, a basilar web is believed to be an area of focal intimal fibroplasia that increases the risk of brainstem infarction. Focal fibroplasia of the posterior circulation should be considered when evaluating young adults with posterior circulation strokes of otherwise undetermined cause.

AB - We present a young patient with no vascular risk factors with a basilar branch infarction secondary to a shelf-like filling defect of the basilar artery. This defect was present and unchanged on repeat imaging and determined to be most consistent with a basilar web. Similar to carotid webs, a basilar web is believed to be an area of focal intimal fibroplasia that increases the risk of brainstem infarction. Focal fibroplasia of the posterior circulation should be considered when evaluating young adults with posterior circulation strokes of otherwise undetermined cause.

KW - Basilar artery

KW - Basilar web

KW - Carotid web

KW - Pontine perforator

KW - Stroke

KW - Stroke in the young

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