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The Descent of the Feared Foe?

Arch Neurol. 2004;61:471-472.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Since the seminal work on basilar artery (BA) occlusion by Kubik and Adams,¹ posterior circulation dysfunction has gained attention in relation to the complexity of neurological manifestations and presumed poor prognosis. However, different selection criteria, sample sizes, and collection methods have often introduced contradictory data. For these reasons, prospective hospital registries collecting consecutive acute stroke cases from determined populations have been developed, such as the Lausanne Stroke Registry² or the New England Medical Center Posterior Circulation Registry (NEMC-PCR),³ the largest one devoted to posterior circulation stroke.

In this issue of the ARCHIVES, Voetsch et al⁴ discuss 87 patients from the NEMC-PCR with basilar occlusive disease. On the basis of the extent of posterior circulation involvement, the authors defined 3 subgroups of disease: localized basilar atherosclerotic occlusive disease, diffuse atherosclerotic arteriopathy, and embolism to the BA. Overall, BA stenosis is present in two thirds and BA occlusion in one third of . . . [Full Text of this Article]

Bartomiej Piechowski-Jówiak, MD
Department of Neurology
Centre Hospitalier Universitaire Vaudois
Rue du Bugnon 21
CH-1011 Lausanne
Switzerland
(e-mail: bpiechow{at}amwaw.edu.pl)

Julien Bogousslavsky, MD
Lausanne

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Basilar Artery Occlusive Disease in the New England Medical Center Posterior Circulation Registry
Barbara Voetsch, L. Dana DeWitt, Michael S. Pessin, and Louis R. Caplan
Arch Neurol. 2004;61(4):496-504.
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