Reversible Rostral Basilar Artery Syndrome

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We prospectively studied 34 patients with clinical and radiologic evidence of rostral basilar artery syndrome, a vasoocclusive disorder, who had uniformly excellent short-term functional recovery, in marked contrast to the classic syndrome. All patients displayed important neurobehavioral disturbances, including an acute confusional state, necessitating medical consultation. The composite group had minimal hypertension, significant arrhythmias in the young, and no history of vertebrobasilar insufficiency. Unsuspected cases of idiopathic orthostatic hypotension, as well as cardiac arrhythmias in the elderly, were discovered. A vascular cause was not considered in 79% of those presenting for emergency evaluation and prevented proper acute diagnostic evaluation in 88%. Recognition of this potentially reversible cerebrovascular syndrome may prevent hazardous diagnostic and therapeutic interventions.

Original languageEnglish (US)
Pages (from-to)166-169
Number of pages4
JournalArchives of Internal Medicine
Volume148
Issue number1
DOIs
StatePublished - 1988

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Basilar Artery
Cardiac Arrhythmias
Vertebrobasilar Insufficiency
Confusion
Blood Vessels
Emergencies
Referral and Consultation
Hypertension
Therapeutics

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Reversible Rostral Basilar Artery Syndrome. / Mehler, Mark F.

In: Archives of Internal Medicine, Vol. 148, No. 1, 1988, p. 166-169.

Research output: Contribution to journalArticle

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