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Vertebrobasilar insufficiency

MedGen UID:
12075
Concept ID:
C0042568
Disease or Syndrome
Synonyms: Insufficiencies, Vertebro-Basilar; Insufficiencies, Vertebrobasilar; Insufficiency, Vertebro-Basilar; Insufficiency, Vertebrobasilar; Ischemia, Vertebro-Basilar; Ischemia, Vertebrobasilar; Ischemias, Vertebro-Basilar; Ischemias, Vertebrobasilar; Vertebro Basilar Insufficiency; Vertebro Basilar Ischemia; Vertebro-Basilar Insufficiencies; Vertebro-Basilar Insufficiency; Vertebro-Basilar Ischemia; Vertebro-Basilar Ischemias; Vertebrobasilar Insufficiencies; Vertebrobasilar Insufficiency; Vertebrobasilar Ischemia; Vertebrobasilar Ischemias
SNOMED CT: Vertebrobasilar arterial insufficiency (64009001); Vertebrobasilar insufficiency (64009001); Vertebrobasilar artery syndrome (195199008)
 
Monarch Initiative: MONDO:0001613

Definition

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. [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVertebrobasilar insufficiency

Professional guidelines

PubMed

Baik SH, Jung C, Kim BM, Kim DJ
Stroke 2020 Jun;51(6):1883-1885. Epub 2020 May 14 doi: 10.1161/STROKEAHA.120.029503. PMID: 32404041
Jenkins JS, Stewart M
Prog Cardiovasc Dis 2017 May-Jun;59(6):619-625. Epub 2017 Mar 8 doi: 10.1016/j.pcad.2017.02.005. PMID: 28284683
Hopkins LN, Martin NA, Hadley MN, Spetzler RF, Budny J, Carter LP
J Neurosurg 1987 May;66(5):662-74. doi: 10.3171/jns.1987.66.5.0662. PMID: 3553454

Recent clinical studies

Etiology

Rezai Jahromi B, Niemelä M
Neurosurg Clin N Am 2022 Oct;33(4):419-429. Epub 2022 Sep 11 doi: 10.1016/j.nec.2022.06.003. PMID: 36229129
Ng AC
Am J Med Sci 2022 May;363(5):388-398. Epub 2022 Jan 31 doi: 10.1016/j.amjms.2021.10.027. PMID: 35104439
Salerno A, Strambo D, Nannoni S, Dunet V, Michel P
Int J Stroke 2022 Aug;17(7):714-722. Epub 2021 Sep 28 doi: 10.1177/17474930211046758. PMID: 34581223Free PMC Article
Madonis SM, Jenkins JS
Prog Cardiovasc Dis 2021 Mar-Apr;65:55-59. Epub 2021 Feb 14 doi: 10.1016/j.pcad.2021.02.006. PMID: 33592207
Jenkins JS, Stewart M
Prog Cardiovasc Dis 2017 May-Jun;59(6):619-625. Epub 2017 Mar 8 doi: 10.1016/j.pcad.2017.02.005. PMID: 28284683

Diagnosis

Regenhardt RW, Kozberg MG, Dmytriw AA, Vranic JE, Stapleton CJ, Silverman SB, Patel AB
Stroke 2022 Jan;53(1):e26-e29. Epub 2021 Dec 6 doi: 10.1161/STROKEAHA.121.037253. PMID: 34865507Free PMC Article
Yellin I, Svrakic M
Otolaryngol Clin North Am 2021 Oct;54(5):913-924. Epub 2021 Jul 20 doi: 10.1016/j.otc.2021.05.012. PMID: 34294440
Madonis SM, Jenkins JS
Prog Cardiovasc Dis 2021 Mar-Apr;65:55-59. Epub 2021 Feb 14 doi: 10.1016/j.pcad.2021.02.006. PMID: 33592207
Britz GW, Agarwal V, Mihlon F, Ramanathan D, Agrawal A, Nimjee SM, Kaylie D
World Neurosurg 2016 Jan;85:106-13. Epub 2015 Aug 15 doi: 10.1016/j.wneu.2015.08.004. PMID: 26284960
Mort DJ, Bronstein AM
Curr Opin Neurol 2006 Feb;19(1):1-3. doi: 10.1097/01.wco.0000196155.92856.a1. PMID: 16415670

Therapy

Markus HS, Michel P
Int J Stroke 2022 Aug;17(7):723-732. Epub 2022 Jun 28 doi: 10.1177/17474930221107500. PMID: 35658624Free PMC Article
Ng AC
Am J Med Sci 2022 May;363(5):388-398. Epub 2022 Jan 31 doi: 10.1016/j.amjms.2021.10.027. PMID: 35104439
Langezaal LCM, van der Hoeven EJRJ, Mont'Alverne FJA, de Carvalho JJF, Lima FO, Dippel DWJ, van der Lugt A, Lo RTH, Boiten J, Lycklama À Nijeholt GJ, Staals J, van Zwam WH, Nederkoorn PJ, Majoie CBLM, Gerber JC, Mazighi M, Piotin M, Zini A, Vallone S, Hofmeijer J, Martins SO, Nolte CH, Szabo K, Dias FA, Abud DG, Wermer MJH, Remmers MJM, Schneider H, Rueckert CM, de Laat KF, Yoo AJ, van Doormaal PJ, van Es ACGM, Emmer BJ, Michel P, Puetz V, Audebert HJ, Pontes-Neto OM, Vos JA, Kappelle LJ, Algra A, Schonewille WJ; BASICS Study Group
N Engl J Med 2021 May 20;384(20):1910-1920. doi: 10.1056/NEJMoa2030297. PMID: 34010530
Liu X, Dai Q, Ye R, Zi W, Liu Y, Wang H, Zhu W, Ma M, Yin Q, Li M, Fan X, Sun W, Han Y, Lv Q, Liu R, Yang D, Shi Z, Zheng D, Deng X, Wan Y, Wang Z, Geng Y, Chen X, Zhou Z, Liao G, Jin P, Liu Y, Liu X, Zhang M, Zhou F, Shi H, Zhang Y, Guo F, Yin C, Niu G, Zhang M, Cai X, Zhu Q, Chen Z, Liang Y, Li B, Lin M, Wang W, Xu H, Fu X, Liu W, Tian X, Gong Z, Shi H, Wang C, Lv P, Tao Z, Zhu L, Yang S, Hu W, Jiang P, Liebeskind DS, Pereira VM, Leung T, Yan B, Davis S, Xu G, Nogueira RG; BEST Trial Investigators
Lancet Neurol 2020 Feb;19(2):115-122. Epub 2019 Dec 9 doi: 10.1016/S1474-4422(19)30395-3. PMID: 31831388
Jenkins JS, Stewart M
Prog Cardiovasc Dis 2017 May-Jun;59(6):619-625. Epub 2017 Mar 8 doi: 10.1016/j.pcad.2017.02.005. PMID: 28284683

Prognosis

Ekşi MŞ, Toktaş ZO, Yılmaz B, Demir MK, Özcan-Ekşi EE, Bayoumi AB, Yener Y, Akakın A, Konya D
Eur Spine J 2016 Dec;25(12):4171-4180. Epub 2016 Jul 7 doi: 10.1007/s00586-016-4691-1. PMID: 27388018
Yuan YJ, Xu K, Luo Q, Yu JL
Int J Med Sci 2014;11(10):1039-48. Epub 2014 Aug 2 doi: 10.7150/ijms.8566. PMID: 25136259Free PMC Article
Shapiro M, Becske T, Riina HA, Raz E, Zumofen D, Nelson PK
J Neurointerv Surg 2014 Jun;6(5):389-93. Epub 2013 Jul 10 doi: 10.1136/neurintsurg-2013-010793. PMID: 23843444
Lou M, Caplan LR
Ann N Y Acad Sci 2010 Jan;1184:121-33. doi: 10.1111/j.1749-6632.2009.05114.x. PMID: 20146694
Kazmers A, Zierler RE, Huang TW, Pulliam CW, Radke HM
Am J Surg 1988 Nov;156(5):346-52. doi: 10.1016/s0002-9610(88)80183-1. PMID: 3189704

Clinical prediction guides

Ng AC
Am J Med Sci 2022 May;363(5):388-398. Epub 2022 Jan 31 doi: 10.1016/j.amjms.2021.10.027. PMID: 35104439
Moser N, Mior S, Noseworthy M, Côté P, Wells G, Behr M, Triano J
BMJ Open 2019 May 28;9(5):e025219. doi: 10.1136/bmjopen-2018-025219. PMID: 31142519Free PMC Article
Meng X, Ding W, Wu X, Di P
Discov Med 2018 Apr;25(138):151-158. PMID: 29723487
Samim M, Goldstein A, Schindler J, Johnson MH
Radiographics 2016 Jul-Aug;36(4):1129-46. Epub 2016 Jun 17 doi: 10.1148/rg.2016150032. PMID: 27315445
Shapiro M, Becske T, Riina HA, Raz E, Zumofen D, Nelson PK
J Neurointerv Surg 2014 Jun;6(5):389-93. Epub 2013 Jul 10 doi: 10.1136/neurintsurg-2013-010793. PMID: 23843444

Recent systematic reviews

Cao H, Tan D, Wang K, Duan X, Wu J, Liu X, Ni M, Tian J, Liu S
J Clin Pharm Ther 2020 Apr;45(2):256-263. Epub 2019 Nov 19 doi: 10.1111/jcpt.13070. PMID: 31746018Free PMC Article
Guo Z, Su Z, Wang Z, Luo X, Lai R
Complement Ther Med 2017 Apr;31:27-38. Epub 2017 Jan 20 doi: 10.1016/j.ctim.2017.01.004. PMID: 28434468
Shapiro M, Becske T, Riina HA, Raz E, Zumofen D, Nelson PK
J Neurointerv Surg 2014 Jun;6(5):389-93. Epub 2013 Jul 10 doi: 10.1136/neurintsurg-2013-010793. PMID: 23843444
Wolters FJ, Rinkel GJ, Vergouwen MD
Neurol Res 2013 Mar;35(2):131-7. doi: 10.1179/1743132812Y.0000000149. PMID: 23452575
Hutting N, Verhagen AP, Vijverman V, Keesenberg MD, Dixon G, Scholten-Peeters GG
Man Ther 2013 Jun;18(3):177-82. Epub 2012 Nov 3 doi: 10.1016/j.math.2012.09.009. PMID: 23127991

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