Hassan A, ul Haq T, Khimani F, Ali S, Dhakam S, Syed N A
Section of Neurology, Department of Medicine, Aga Khan University Hospital, PO Box 3500, Stadium Road, Karachi 74800, Pakistan.
Singapore Med J. 2007 Oct;48(10):e277-80.
Acute vertebrobasilar artery occlusion is a life-threatening event, even after thrombolytic treatment with local intraarterial (IA) recombinant tissue plasminogen activator. We report a 70-year-old man with acute vertebral artery occlusion in which IA thrombolysis resulted in partial recanalisation and revealed pre-existing severe stenosis as the underlying cause. Stenosis was managed with stenting with excellent long-term clinical as well as angiographical outcomes.