Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery
Persistent hypoglossal artery (PHA) is a rare carotid-vertebrobasilar anastomosis in adults. Here, we report a case of mechanical thrombectomy for acute basilar artery occlusion via the PHA. A 44-year-old man was admitted to our stroke unit with an unstable gait and aphasia for 2 h. The baseline Nat...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1200539/full |
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| author | Xin Zhang Xin Zhang Xin Zhang Xin Zhang Xin Zhang Jiaxiong Wang Jiaxiong Wang Zhipeng Cao Zhipeng Cao Yingtao Liu Yingtao Liu Yi Dong Yi Dong Xin Cheng Xin Cheng Chao Gao Chao Gao Chao Gao Chao Gao Chao Gao Yuxiang Gu Yuxiang Gu Yuxiang Gu Yuxiang Gu Yuxiang Gu |
| author_facet | Xin Zhang Xin Zhang Xin Zhang Xin Zhang Xin Zhang Jiaxiong Wang Jiaxiong Wang Zhipeng Cao Zhipeng Cao Yingtao Liu Yingtao Liu Yi Dong Yi Dong Xin Cheng Xin Cheng Chao Gao Chao Gao Chao Gao Chao Gao Chao Gao Yuxiang Gu Yuxiang Gu Yuxiang Gu Yuxiang Gu Yuxiang Gu |
| author_sort | Xin Zhang |
| collection | DOAJ |
| description | Persistent hypoglossal artery (PHA) is a rare carotid-vertebrobasilar anastomosis in adults. Here, we report a case of mechanical thrombectomy for acute basilar artery occlusion via the PHA. A 44-year-old man was admitted to our stroke unit with an unstable gait and aphasia for 2 h. The baseline National Institutes of Health Stroke Scale (NIHSS) score was 4, but the clinical symptoms continued to worsen. Computed tomography angiography showed the absence of the basilar artery and an abnormal anastomosis between the anterior and posterior circulation. Clinical symptoms continued to worsen, and endovascular treatment was scheduled. PHA was demonstrated and basilar artery occlusion was confirmed using digital subtraction angiography. Mechanical thrombectomy with a stent retriever and aspiration was performed via the PHA, and modified thrombolysis in cerebral infarction level 3 was achieved. The patient underwent intravenous antiplatelet therapy after the operation, and follow-up neuroimaging revealed multiple small infarcts in the cerebellum and medulla oblongata. The patient was discharged after 10 days for further rehabilitation, with an NIHSS score of 25. At 10 months follow-up, the NIHSS score decreased to 18. Recognition of this rare variation is particularly important for interventional strategy determination and rapid recanalization of basilar artery occlusion. |
| first_indexed | 2024-03-12T21:31:48Z |
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| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T21:31:48Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-bb05486c76bf49c58bec00ed3bcb43a92023-07-27T18:26:08ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-07-011410.3389/fneur.2023.12005391200539Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal arteryXin Zhang0Xin Zhang1Xin Zhang2Xin Zhang3Xin Zhang4Jiaxiong Wang5Jiaxiong Wang6Zhipeng Cao7Zhipeng Cao8Yingtao Liu9Yingtao Liu10Yi Dong11Yi Dong12Xin Cheng13Xin Cheng14Chao Gao15Chao Gao16Chao Gao17Chao Gao18Chao Gao19Yuxiang Gu20Yuxiang Gu21Yuxiang Gu22Yuxiang Gu23Yuxiang Gu24Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaNeurosurgical Institute of Fudan University, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, ChinaDepartment of Neurosurgery, South Yunnan Central Hospital of Yunnan Province, Mengzi, Yunnan, ChinaNational Center for Neurological Disorders, Shanghai, ChinaDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaDepartment of Radiology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaDepartment of Neurology, Huashan Hospital, Fudan University, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaNeurosurgical Institute of Fudan University, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaDepartment of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai, ChinaNational Center for Neurological Disorders, Shanghai, ChinaShanghai Key Laboratory of Brain Function and Restoration and Neural Regeneration, Shanghai, ChinaNeurosurgical Institute of Fudan University, Shanghai, ChinaShanghai Clinical Medical Center of Neurosurgery, Shanghai, ChinaPersistent hypoglossal artery (PHA) is a rare carotid-vertebrobasilar anastomosis in adults. Here, we report a case of mechanical thrombectomy for acute basilar artery occlusion via the PHA. A 44-year-old man was admitted to our stroke unit with an unstable gait and aphasia for 2 h. The baseline National Institutes of Health Stroke Scale (NIHSS) score was 4, but the clinical symptoms continued to worsen. Computed tomography angiography showed the absence of the basilar artery and an abnormal anastomosis between the anterior and posterior circulation. Clinical symptoms continued to worsen, and endovascular treatment was scheduled. PHA was demonstrated and basilar artery occlusion was confirmed using digital subtraction angiography. Mechanical thrombectomy with a stent retriever and aspiration was performed via the PHA, and modified thrombolysis in cerebral infarction level 3 was achieved. The patient underwent intravenous antiplatelet therapy after the operation, and follow-up neuroimaging revealed multiple small infarcts in the cerebellum and medulla oblongata. The patient was discharged after 10 days for further rehabilitation, with an NIHSS score of 25. At 10 months follow-up, the NIHSS score decreased to 18. Recognition of this rare variation is particularly important for interventional strategy determination and rapid recanalization of basilar artery occlusion.https://www.frontiersin.org/articles/10.3389/fneur.2023.1200539/fullpersistent hypoglossal arteryacute ischemic strokebasilar artery occlusionthrombectomycase report |
| spellingShingle | Xin Zhang Xin Zhang Xin Zhang Xin Zhang Xin Zhang Jiaxiong Wang Jiaxiong Wang Zhipeng Cao Zhipeng Cao Yingtao Liu Yingtao Liu Yi Dong Yi Dong Xin Cheng Xin Cheng Chao Gao Chao Gao Chao Gao Chao Gao Chao Gao Yuxiang Gu Yuxiang Gu Yuxiang Gu Yuxiang Gu Yuxiang Gu Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery Frontiers in Neurology persistent hypoglossal artery acute ischemic stroke basilar artery occlusion thrombectomy case report |
| title | Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery |
| title_full | Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery |
| title_fullStr | Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery |
| title_full_unstemmed | Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery |
| title_short | Case report: Mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery |
| title_sort | case report mechanical thrombectomy for acute basilar artery occlusion via persistent hypoglossal artery |
| topic | persistent hypoglossal artery acute ischemic stroke basilar artery occlusion thrombectomy case report |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1200539/full |
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