Occlusion of the basilar artery (BAO) is a relatively infrequent but the most catastrophic form of ischemic stroke with a dismal natural course, carrying from 85 to almost 95 % mortality. Complete BAO precipitates a sudden or gradually worsening clinical syndrome with bilateral motor weaknesses, visual or speech disturbances, deficits in motor coordination and balance, and often leads to reduced consciousness. The most devastating end-point is the locked-in state, in which the patient is conscious but can move only his or her eyes. Many stroke centers have in the past used invasive, intra-arterial thrombolysis to recanalize BAO, which is limited to hospitals with immediate invasive radiologist service.
Previous reports have advocated thrombolytics delivered with invasive endovascular approach to the occlusion site, but even a short delay in the onset of therapy has been reported to be the single most critical factor affecting outcome. Due to unacceptable treatment delays, Finnish neurologists led by Docent Perttu J. Lindsberg and Professor Markku Kaste at Helsinki University Central Hospital reverted from intra-arterial approach to noninvasive, intravenous delivery of alteplase, a protocol used more commonly in anterior circulation strokes. The results of this study were published 20.10.2004 in JAMA (Journal of American Medical Association).
Since 1995, 50 patients with proven BAO were treated in Helsinki according to institutional thrombolysis protocol. By 3 months, 20 patients (40%) died, while 12 patients (24%) reached independence in activities of daily life. On the long-term, patients with recanalized basilar artery and fair outcome continued to improve functionally and survivors reported unexpectedly satisfactory ratings of the quality of their daily life.
Paivi Lehtinen | alfa
Why might reading make myopic?
18.07.2018 | Universitätsklinikum Tübingen
Unique brain 'fingerprint' can predict drug effectiveness
11.07.2018 | McGill University
For the first time ever, scientists have determined the cosmic origin of highest-energy neutrinos. A research group led by IceCube scientist Elisa Resconi, spokesperson of the Collaborative Research Center SFB1258 at the Technical University of Munich (TUM), provides an important piece of evidence that the particles detected by the IceCube neutrino telescope at the South Pole originate from a galaxy four billion light-years away from Earth.
To rule out other origins with certainty, the team led by neutrino physicist Elisa Resconi from the Technical University of Munich and multi-wavelength...
For the first time a team of researchers have discovered two different phases of magnetic skyrmions in a single material. Physicists of the Technical Universities of Munich and Dresden and the University of Cologne can now better study and understand the properties of these magnetic structures, which are important for both basic research and applications.
Whirlpools are an everyday experience in a bath tub: When the water is drained a circular vortex is formed. Typically, such whirls are rather stable. Similar...
Physicists working with Roland Wester at the University of Innsbruck have investigated if and how chemical reactions can be influenced by targeted vibrational excitation of the reactants. They were able to demonstrate that excitation with a laser beam does not affect the efficiency of a chemical exchange reaction and that the excited molecular group acts only as a spectator in the reaction.
A frequently used reaction in organic chemistry is nucleophilic substitution. It plays, for example, an important role in in the synthesis of new chemical...
Optical spectroscopy allows investigating the energy structure and dynamic properties of complex quantum systems. Researchers from the University of Würzburg present two new approaches of coherent two-dimensional spectroscopy.
"Put an excitation into the system and observe how it evolves." According to physicist Professor Tobias Brixner, this is the credo of optical spectroscopy....
Ultra-short, high-intensity X-ray flashes open the door to the foundations of chemical reactions. Free-electron lasers generate these kinds of pulses, but there is a catch: the pulses vary in duration and energy. An international research team has now presented a solution: Using a ring of 16 detectors and a circularly polarized laser beam, they can determine both factors with attosecond accuracy.
Free-electron lasers (FELs) generate extremely short and intense X-ray flashes. Researchers can use these flashes to resolve structures with diameters on the...
13.07.2018 | Event News
12.07.2018 | Event News
03.07.2018 | Event News
19.07.2018 | Life Sciences
19.07.2018 | Earth Sciences
19.07.2018 | Social Sciences