II. Epidemiology

  1. Accounts for 1% of Ischemic Strokes

III. Pathophysiology

  1. Findings are similar to Posterior Circulation findings to either PCA CVA or PICA CVA
    1. Affects Brainstem, Cerebellum, visual cortex
  2. Contralateral motor and sensory deficits
  3. Ipsilateral Cranial Nerve deficit
    1. Facial weakness or sensory deficit on the same side of the CVA)
  4. Crossed findings
    1. Crossed findings may also occur with Posterior Inferior Cerebellar Artery CVA
    2. Crossed findings include Wallenberg Syndrome affecting the lateral Medulla

IV. Symptoms

  1. Often presents with Vertigo, Nystagmus, and Vomiting

V. Findings: Signs and Symptoms

  1. Dysarthria
  2. Dysphagia
  3. Nausea
  4. Drop attacks or Syncope
  5. Cognitive Changes or mental status changes
    1. Memory Loss
    2. Disorientation
    3. Coma
  6. Vestibular changes
    1. Vertigo
    2. Ataxic gait
  7. Visual changes
    1. Diplopia (Double Vision)
    2. Homonymous Hemianopia
    3. Nystagmus
    4. Conjugate Gaze paralysis
    5. Ophthalmoplegia
  8. Hearing Changes
    1. Tinnitus
    2. Hearing Loss
  9. Akinetic mutism
    1. Locked-in-syndrome (Basilar ArteryOcclusion at pons)
  10. Motor or sensory deficits
    1. Quadriplegia
    2. Numbness of Tongue
    3. Facial weakness
    4. Alternating motor paresis

VI. Syndromes

VII. References

  1. (2019) Neuro-Psych, CCME National Board Review Course, accessed 6/7/2019

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Related Studies

Ontology: Vertebrobasilar Insufficiency (C0042568)

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