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The Challenges of Posterior Circulation Ischemic Stroke

By ACEP Now | on November 9, 2022 | 0 Comment
EM Cases
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A special thanks to Dr. Katie Lin for her expertise in the EM Cases podcast that inspired this article.

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ACEP Now: Vol 41 – No 11 – November 2022

Dr. HelmanDr. Helman is an emergency physician at North York General Hospital in Toronto. He is an assistant professor at the University of Toronto, Division of Emergency Medicine.

References

  1. Caplan LR, Wityk RJ, et al. New England medical center posterior circulation registry. Ann Neurol. 2004;56:389-98.
  2. Forster A, Gass A, Kern R, et al. Thrombolysis in posterior circulation stroke: stroke subtypes and patterns, complications, and outcome. Cerebrovasc Dis. 2011;32:349-53.
  3. Hoyer C, Szabo K. Pitfalls in the diagnosis of posterior circulation stroke in the ED setting. Front Neurol. 2021;12:682827. doi: 10.3389/fneur.2021.682827.
  4. Lee S, Han J, Jung I, Jung J. Do thrombolysis outcomes differ between anterior circulation stroke and posterior circulation stroke? A systematic review and meta-analysis. Int J of Stroke. 2020;15(8):849-57.
  5. Liu X, Dai Q, Ye R, et al. Endovascular treatment versus standard medical treatment for vertebrobasilar artery occlusion (BEST): an open-label, randomised controlled trial. Lancet Neurol. 2020;19:115-122.
  6. Langezaal L, van der Hoeven E, Mont’Alverne F, et al. Endovascular therapy for stroke due to basilar-artery occlusion. N Engl J Med. 2021;384:1910-1920.
  7. Kim JS, Lee H. Vertigo due to posterior circulation stroke. Semin Neurol. 2013;33(3):179-84.
  8. Nouh A, Remke J, Ruland S. Ischemic posterior circulation stroke: a review of anatomy, clinical presentations, diagnosis, and current management. Front Neurol. 2014;5:30.
  9. Tao WD, Liu M, Fisher M, et al. Posterior versus anterior circulation infarction: how different are the neurological deficits? Stroke. 2012;43(8):2060-5.
  10. Ohle R, Montpellier RA, Marchadier V, et al. Can emergency physicians accurately rule out a central cause of vertigo using the HINTS examination? A systematic review and meta-analysis. Acad Emerg Med. 2020;27(9):887-896.
  11. Krishnan K, Bassilious K, Eriksen E, et al. Posterior circulation stroke diagnosis using HINTS in patients presenting with acute vestibular syndrome: A systematic review. Eur Stroke J. 2019;4(3):233-239.

Pages: 1 2 3 | Single Page

Topics: ClinicalCritical Careischemic strokeposterior circulation strokeStroke

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