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Case Report

SJEMed. 2024; 5(3): 244-249


Successful revascularization therapy in altered mental state patient with posterior circulation stroke and left subclavian artery partial obstruction: a case report and review of literature

Asma AlHammadi, Ibraheem AlZaabi, Mohammed AlJaberi.




Abstract

Background: This case report highlights the successful revascularization therapy and favorable functional outcome in a rare and challenging case involving basilar artery occlusion and left subclavian artery partial obstruction.
Case Presentation: We report a patient presented with a high National Institutes of Health Stroke Scale score and altered mental state following collapse. Timely intervention, with multidisciplinary team approach including mechanical thrombectomy and intravenous thrombolysis, led to a remarkable neurological recovery. The discussion emphasizes the significance of prompt revascularization in cases of posterior circulation stroke and underscores the need for further research on multiple arterial obstructions.
Conclusion: This case illustrates the potential for positive prognostic indicators even in complex scenarios, ultimately improving patient outcomes in such critical conditions.

Key words: Basilar artery occlusion, left subclavian artery, stroke, thrombectomy.






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The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.