1. Case Report Evan Leibner, MD, PhD Emergency Medicine, PGY 3 Stony Brook University Medical Center

3. DDx

4. Work Up?

5. REFERENCES

7. http://radiopaedia.org/articles/acute-basilar-artery-occlusion

8. Locked-in Syndrome Acute basilar artery Stroke

9. What does the Literature say?

10. The early years 2005-2013 No Benefit or Harm

11. Berkhemer OA, Fransen PS, Beumer D, et al. A randomized trial of intraarterial treatment for acute ischemic stroke (MR CLEAN). N Engl J Med. 2015;372:(1)11-20. MR Clean

12. Campbell BC, Mitchell PJ, Kleinig TJ, et al. Endovascular Therapy for Ischemic Stroke with Perfusion-Imaging Selection (EXTEND-IA). N Engl J Med. 2015;372:1009-18. EXTEND-IA

13. Goyal M, Demchuk AM, Menon BK, et al. Randomized Assessment of Rapid Endovascular Treatment of Ischemic Stroke (ESCAPE). N Engl J Med. 372:1019-30 ESCAPE

14. Saver JL, Goyal M, Bonafe A, et al. Stent-Retriever Thrombectomy after Intravenous t-PA vs. t-PA Alone in Stroke. (SWIFT PRIME) N Engl J Med. 2015 SWIFT PRIME

15. Jovin TG, Chamorro A, Cobo E, et al. Thrombectomy within 8 Hours after Symptom Onset in Ischemic Stroke. (REVASCAT) N Engl J Med. 2015; REVASCAT

16. http://stroke.ahajournals.org/content/early/2015/06/26/STR.0000000000000074.full.pdf AHA Guidelines

17. http://www.emlitofnote.com/2015/02/christmas-comes-early-for-endovascular.html Conclusions But, for the first time ever, if I were to have one of these specific types of heavily disabling strokes, this is probably the first advanced stroke intervention I'd willingly choose -Ryan Radecki