Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery

Ischemic stroke in the vertebrobasilar pool

Authors: Bockeria L.A., Abdulgasanov R.A., Shogenov M.A., Sultanova A.E.

Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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UDC: 616.831-005.4-036.11

Link: Clinical Physiology of Blood Circulaiton. 2022; 1 (19): 33-46

Quote as: Bockeria L.A., Abdulgasanov R.A., Shogenov M.A., Sultanova A.E. Ischemic stroke in the vertebrobasilar pool. Clinical Physiology of Circulation. 2022; 19 (1): 33–46 (in Russ.). DOI: 10.24022/1814-6910-2022-19-1-33-46

Received / Accepted:  22.07.2021 / 25.01.2022

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Posterior circulation stroke accounts for 20–25% of ischaemic strokes. Posterior circulation transient ischaemic attacks may include brief or minor brainstem symptoms and are more difficult to diagnose than anterior circulation ischaemia. Specialist assessment and administration of intravenous tissue plasminogen activator are delayed in posterior circulation stroke compared with anterior circulation stroke. The risk of recurrent stroke after posterior circulation stroke is at least as high as for anterior circulation stroke, and vertebrobasilar stenosis increases the risk threefold. Acute neurosurgical input may be needed in patients with hydrocephalus or raised intracranial pressure. Basilar occlusion is associated with high mortality or severe disability, especially if blood flow is not restored in the vessel; if symptoms such as acute coma, dysarthria, dysphagia, quadriparesis, pupillary and oculomotor abnormalities are detected, urgently seek the input of a stroke specialist.


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About Authors

  • Leo A. Bockeria, Dr. Med. Sci., Professor, Academician of RAS and RAMS, President; ORCID
  • Ramiz A. Abdulgasanov, Dr. Med. Sci., Chief Researcher; ORCID
  • Mukhamed A. Shogenov, Cardiovascular Surgeon; ORCID
  • Aida E. Sultanova, Resident Physician; ORCID

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