II. Epidemiology
- Accounts for 1% of Ischemic Strokes
III. Pathophysiology
- Findings are similar to Posterior Circulation findings to either PCA CVA or PICA CVA
- Affects Brainstem, Cerebellum, visual cortex
- Contralateral motor and sensory deficits
- Ipsilateral Cranial Nerve deficit
- Facial weakness or sensory deficit on the same side of the CVA)
- Crossed findings
- Crossed findings may also occur with Posterior Inferior Cerebellar Artery CVA
- Crossed findings include Wallenberg Syndrome affecting the lateral Medulla
V. Findings: Signs and Symptoms
- Dysarthria
- Dysphagia
- Nausea
- Drop attacks or Syncope
- Cognitive Changes or mental status changes
- Vestibular changes
- Vertigo
- Ataxic gait
- Visual changes
- Hearing Changes
- Akinetic mutism
- Locked-in-syndrome (Basilar ArteryOcclusion at pons)
- Motor or sensory deficits
- Quadriplegia
- Numbness of Tongue
- Facial weakness
- Alternating motor paresis
VI. Syndromes
VII. References
- (2019) Neuro-Psych, CCME National Board Review Course, accessed 6/7/2019
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Related Studies
Definition (MSHCZE) | Zkr. VBI – stav vznikající v důsledku porušeného oběhu krve v zadní části mozku. Ta je zásobena dvěma vertebrálními tepnami (a. vertebralis) procházejícími otvory v postranních výběžcích krčních obratlů a na spodině mozkové se spojujícími v jednu bazilární tepnu (a. basilaris). Vertebrální tepny mohou být zúženy vrozeně, vlivem anatomických podmínek (průchod zúženými místy) či aterosklerózy. Projevuje se např. závratěmi. Těžší porucha průtoku může způsobit i závažnější cévní mozkovou příhodu. (cit. Velký lékařský slovník online, 2013 http://lekarske.slovniky.cz/ ) |
Definition (MSH) | Localized or diffuse reduction in blood flow through the vertebrobasilar arterial system, which supplies the BRAIN STEM; CEREBELLUM; OCCIPITAL LOBE; medial TEMPORAL LOBE; and THALAMUS. Characteristic clinical features include SYNCOPE; lightheadedness; visual disturbances; and VERTIGO. BRAIN STEM INFARCTIONS or other BRAIN INFARCTION may be associated. |
Concepts | Disease or Syndrome (T047) |
MSH | D014715 |
ICD9 | 435.3 |
ICD10 | G45.0 |
SnomedCT | 155404005, 195196001, 266314007, 394517009, 64009001, 195199008 |
English | Insufficiencies, Vertebrobasilar, Insufficiency, Vertebrobasilar, Vertebrobasilar Insufficiencies, Vertebrobasilar Insufficiency, VERTEBRAL BASILAR ARTERY INSUFFICIENCY, Vertebro-basilar artery syndrome, vertebrobasilar artery insufficiency (diagnosis), vertebrobasilar artery insufficiency, vertebrobasilar arterial insufficiency, Vertebrobasilar artery syndrom, Insufficiencies, Vertebro-Basilar, Insufficiency, Vertebro-Basilar, Vertebro Basilar Insufficiency, Vertebro-Basilar Insufficiencies, Vertebro-Basilar Insufficiency, Ischemia, Vertebro-Basilar, Vertebro Basilar Ischemia, Vertebro-Basilar Ischemia, Ischemias, Vertebro-Basilar, Vertebro-Basilar Ischemias, Ischemia, Vertebrobasilar, Vertebrobasilar Ischemia, Ischemias, Vertebrobasilar, Vertebrobasilar Ischemias, Vertbrobaslr artery synd, Vertebrobasilar Insufficiency [Disease/Finding], vertebro-basilar artery syndrome, vertebro-basilar insufficiency, vertebral basilar insufficiency, vertebrobasilar insufficiency, vertebro basilar insufficiency, basilar vertebral insufficiency, vertebrobasilar artery syndrome, vertebrobasilar ischemia, Vertebro-basilar insufficiency, Vertebro basilar insufficiency, Vertebrobasilar insufficiency (disorder), Vertebrobasilar insufficiency, Vertebrobasilar artery syndrome, Vertebrobasilar arterial insufficiency, Vertebrobasilar artery syndrome (disorder), a.vertebro-basilaris; syndrome, syndrome; vertebro-basilar artery, Insufficiency;vertebrobasilar |
Dutch | vertebrobasilair arterieel syndroom, a.vertebro-basilaris; syndroom, syndroom; arteria vertebro-basilaris, Vertebrobasilarissyndroom, vertebrobasilaire insufficiëntie, Insufficiëntie, vertebrobasilaire, Vertebrobasilaire insufficiëntie |
French | Syndrome vertébro-basilaire, Insuffisance vertébrobasilaire, Insuffisance vertébro-basilaire, Ischémie vertébro-basilaire, Ischémie vertébrobasilaire |
Italian | Sindrome dell'arteria vertebrobasilare, Ischemia vertebro-basilare, Ischemia vertebrobasilare, Insufficienza vertebrobasilare |
Portuguese | Síndrome de artéria vertebrobasilar, Insuficiência vertebrobasilar, Insuficiência Vertebrobasilar |
Spanish | Síndrome de la arteria vertebrobasilar, insuficiencia arterial vertebrobasilar, insuficiencia vertebrobasilar (trastorno), insuficiencia vertebrobasilar, síndrome de arteria vertebrobasilar (trastorno), síndrome de arteria vertebrobasilar, Insuficiencia vertebrobasilar, Insuficiencia Vertebrobasilar |
Japanese | 椎骨脳底動脈症候群, ツイコツノウテイドウミャクショウコウグン, ツイコツノウテイドウミャクフゼン, 椎骨脳底動脈循環不全症, 椎骨脳底動脈不全症候群, 脳底動脈不全, 椎骨動脈不全症, 脳底動脈不全症, 椎骨脳底動脈血行不全, 椎骨脳底動脈不全, 椎骨動脈不全症候群, 椎骨脳底動脈循環障害, 椎骨-脳底動脈循環不全, 椎骨脳底動脈循環不全 |
Czech | vertebrobazilární insuficience, Syndrom vertebrobazilární tepny, Vertebrobazilární insuficience, insuficience ve vertebrobazilárním povodí, insuficience ve VB povodí |
Finnish | Nikamavaltimo-kallonpohjavaltimo-oireyhtymä |
Russian | BAZILIARNOI ARTERII NEDOSTATOCHNOST', POZVONOCHNOI ARTERII NEDOSTATOCHNOST', VERTEBRAL'NO-BAZILIARNAIA NEDOSTATOCHNOST', VERTEBROBAZILIARNAIA NEDOSTATOCHNOST', ВЕРТЕБРОБАЗИЛЯРНАЯ НЕДОСТАТОЧНОСТЬ, БАЗИЛЯРНОЙ АРТЕРИИ НЕДОСТАТОЧНОСТЬ, ВЕРТЕБРАЛЬНО-БАЗИЛЯРНАЯ НЕДОСТАТОЧНОСТЬ, ПОЗВОНОЧНОЙ АРТЕРИИ НЕДОСТАТОЧНОСТЬ |
German | Arteria-vertebralis-Syndrom mit Basilaris-Symptomatik, vertebrobasilaere Insuffizienz, Vertebrobasiläre Insuffizienz |
Swedish | Arteria vertebrobasilaris-insufficiens |
Korean | 척추-뇌저 동맥 증후군 |
Croatian | VERTEBROBAZILARNA INSUFICIJENCIJA |
Polish | Niewydolność kręgowo-podstawna, Niewydolność tętnic kręgowo-podstawnych, Zespół kręgowo-podstawny |
Hungarian | Arteria vertebro-basilaris-syndroma, Vertebrobasilaris elégtelenség |
Norwegian | Dårlig blodstrøm i vertebralis- og basilarisarteriene, Vertebrobasilarisinsuffisiens |
Ontology: Occlusion and stenosis of vertebral artery (C0155724)
Concepts | Pathologic Function (T046) |
ICD9 | 433.2 |
ICD10 | I65.0 |
English | Occlusion and stenosis of vertebral artery |
Dutch | arteria vertebralis occlusie en stenose, Occlusie en stenose van arteria vertebralis |
German | Verschluss und Stenose der Arteria vertebralis, Verschluss und Stenose der A. vertebralis |
Italian | Occlusione e stenosi della arteria vertebrale |
Portuguese | Oclusão e estenose de artéria vertebral |
Spanish | Oclusión y estenosis de la arteria vertebral |
French | Occlusion et sténose de l'artère vertébrale |
Czech | Okluze a stenóza vertebrální tepny |
Korean | 척추뼈동맥의 폐색 및 협착 |
Hungarian | Arteria vertebralis elzáródás és szűkület |
Ontology: Cerebellar infarction (C0236073)
Concepts | Disease or Syndrome (T047) |
SnomedCT | 195191006, 95460007 |
English | CEREBELLAR INFARCTION, Cerebellar infarction, Cerebellar infarction (disorder), cerebellar; infarction, infarction; cerebellar |
Italian | Infarto cerebellare |
Japanese | 小脳梗塞, ショウノウコウソク |
Portuguese | ENFARTO DO CEREBELO, Enfarte do cerebelo |
French | INFARCTUS CEREBELLEUX, Infarctus cérébelleux |
Spanish | INFARTO CEREBELOSO, infarto cerebeloso (trastorno), infarto cerebeloso, Infarto cerebeloso |
German | KLEINHIRNINFARKT, Kleinhirninfarkt |
Czech | Infarkt mozečku |
Hungarian | Cerebellaris infarctus |
Dutch | cerebellair; infarct, infarct; cerebellair, cerebellair infarct |
Ontology: Basilar artery occlusion (C0265098)
Concepts | Anatomical Abnormality (T190) |
ICD9 | 433.0 |
ICD10 | I65.1 |
SnomedCT | 78658006, 155396001, 195180004 |
English | Occlusion and stenosis of basilar artery, basilar artery occlusion, basilar artery occlusion (diagnosis), Basilar artery occlusion, occlusion basilar artery, Basilar artery obstruction (disorder), Occlusion of basilar artery, Basilar artery occlusion (disorder), a.basilaris; occlusion, obstruction; basilar artery, occlusion; basilar artery, Basilar artery obstruction |
Italian | Occlusione dell'arteria basilare, Occlusione e stenosi della arteria basilare |
Dutch | arteria basilaris occlusie en stenose, a.basilaris; afsluiting, afsluiting; arteria basilaris, obstructie; arteria basilaris, Occlusie en stenose van arteria basilaris, arteria basilaris occlusie |
French | Occlusion et sténose de l'artère basilaire, Oblitération du tronc basilaire |
German | Verschluss und Stenose der Arteria basilaris, Verschluss und Stenose der A. basilaris, Verschluss der Arteria basilaris |
Portuguese | Oclusão e estenose da artéria basilar, Oclusão da artéria basilar |
Spanish | Oclusión y estenosis de la arteria basilar, obstrucción de la arteria basilar, obstrucción de la arteria basilar (trastorno), oclusión de la arteria basilar, oclusión de arteria basilar (trastorno), oclusión de arteria basilar, Oclusión de arteria basilar, obstrucción de arteria basilar |
Japanese | 脳底動脈閉塞, ノウテイドウミャクヘイソク |
Czech | Okluze a stenóza arteria basilaris, Okluze arteria basilaris |
Korean | 뇌저동맥의 폐색 및 협착 |
Hungarian | Arteria basilaris elzáródás, Arteria basilaris elzáródás és szűkület |
Ontology: Brain Infarction, Posterior Circulation (C0751953)
Concepts | Disease or Syndrome (T047) |
MSH | D020520 |
English | INFARCT POSTERIOR CIRC BRAIN, BRAIN INFARCT POSTERIOR CIRC, INFARCT BRAIN POSTERIOR CIRC, POSTERIOR CIRC INFARCT BRAIN, POSTERIOR CIRC BRAIN INFARCT, Infarction, Brain, Posterior Circulation, Infarction, Posterior Circulation, Brain, Posterior Circulation Brain Infarction, Posterior Circulation Infarction, Brain, Brain Infarction, Posterior Circulation |
French | Infarctus de la circulation postérieure de l'encéphale, Infarctus de la circulation postérieure encéphalique |
German | Posterior Circulation Brain Infarction |
Italian | Infarto dell'area irrorata dal circolo cerebrale posteriore |
Norwegian | Bakre kretsløps-syndrom, Bakre kretsløpssyndrom |