Clinical Outcome
Patient | Time Elapsed, Symptom Onset to Treatment (h) | Clinical Outcome | NIHSS (Admission) | Modified Rankin Score (Discharge) | NIHSS (F/U) | Rankin (F/U) | Time Elapsed, Treatment to Follow-up (d) | Follow-up Imaging Findings |
---|---|---|---|---|---|---|---|---|
1 | 134 | Gradual and good recovery, d/c to acute rehabilitation | 25 | 4 | 4 | 2 | 189 | MR and MRA (at 32 mo): patent BA |
2 | 30 | Improved extremity strength, dysarthria, and hypophonia | 6 | 4 | 4 | 3 | 66 | Angiography (at 19 mo): BA stenosis with collaterals, patent left VA origin stent |
3 | 57 | Gradual and steady recovery, transferred to acute rehabilitation after 1 week | 8 | 4 | 5 | 4 | 21 | MR and MRA (at 1 wk): patent VB system, occluded left ICA |
4 | 60 | Brain stem and subarachnoid hemorrhage, condition deteriorated, patient expired | 38 | N/A | N/A | N/A | N/A | N/A |
5 | 86 | Immediate improvement followed by rapid deterioration, minimal brain stem reflexes the next morning, care withdrawn, patient died | 3 | N/A | N/A | N/A | N/A | N/A |
6 | 99 | Bilateral cerebellar infarct with hemorrhagic conversion, fair and gradual recovery | 8 | 3 | 3 | 2 | 84 | MR and MRA (2 wk): atherosclerotic irregularity with stenosis at junction of right VA and BA |
Note:—NIHSS indicates National Institutes of Health Stroke Score; F/U, follow-up; MRA, MR angiography; BA, basilar artery; VA, vertebral artery; VB, vertebrobasilar; ICA, internal carotid artery.