{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:28:36Z","timestamp":1761845316604,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:00:00Z","timestamp":1615248000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:00:00Z","timestamp":1615248000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Isolated basilar artery dissection (IBAD) is a rare but important cause of ischemic stroke. Anti-thrombotic therapy is often used to treat IBAD-related ischemic stroke, but selected cases might need more aggressive treatment. There is no previous report of emergent stenting for IBAD-related ischemic stroke after intravenous thrombolysis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 53-year-old Japanese woman was admitted to our hospital with disturbance of consciousness, right hemiplegia, severe dysarthria, and total gaze paralysis. Brain magnetic resonance imaging revealed no ischemic lesion, but magnetic resonance angiography showed stenosis in the basilar artery. After initiation of intravenous thrombolysis, her neurological symptoms dramatically improved. Five hours later, however, her symptoms deteriorated again. Cerebral angiography showed IBAD. Emergent stenting was successfully performed. At 90 days after stroke onset, she had no significant disability, with a modified Rankin scale score of 1.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Emergent stenting can be an effective treatment for patients with IBAD-related ischemic stroke who are resistant to IV-rtPA.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-02675-y","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:07:28Z","timestamp":1615248448000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Emergent stenting after intravenous thrombolysis for isolated basilar artery dissection in a patient with acute ischemic stroke: a case report"],"prefix":"10.1186","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4648-3485","authenticated-orcid":false,"given":"Toshiaki","family":"Goda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoki","family":"Oyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takanori","family":"Iwamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Takai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shunji","family":"Matsubara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaaki","family":"Uno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiki","family":"Yagita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,3,9]]},"reference":[{"key":"2675_CR1","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1159\/000319069","volume":"30","author":"M Ruecker","year":"2010","unstructured":"Ruecker M, Furtner M, Knoflach M, Werner P, Gotwald T, Chemelli A, et al. Basilar artery dissection: Series of 12 consecutive cases and review of the literature. Cerebrovas Dis. 2010;30:267\u201376.","journal-title":"Cerebrovas Dis."},{"key":"2675_CR2","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1177\/1591019915622162","volume":"22","author":"L Li","year":"2016","unstructured":"Li L, Li T, Xue J, Wang Z, Bai W, Zhu L, et al. Stent treatment for basilar artery dissection: A single-center experience of 21 patients. Interv Neuroradiol. 2016;22:260\u20135.","journal-title":"Interv Neuroradiol."},{"key":"2675_CR3","doi-asserted-by":"publisher","first-page":"1937","DOI":"10.3174\/ajnr.A1243","volume":"29","author":"BM Kim","year":"2008","unstructured":"Kim BM, Suh SH, Park SI, Shin YS, Chung EC, Lee MH, et al. Management of clinical outcome of acute basilar artery dissection. Am J Neuroradiol. 2008;29:1937\u201341.","journal-title":"Am J Neuroradiol."},{"key":"2675_CR4","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1007\/s00270-013-0737-5","volume":"37","author":"C Jiang","year":"2014","unstructured":"Jiang C, Li Q, Liu JM, Huang QH. Endovascular treatment for the basilar artery dissection. Cardiovasc Intervent Radiol. 2014;37:646\u201356.","journal-title":"Cardiovasc Intervent Radiol."},{"key":"2675_CR5","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1136\/neurintsurg-2013-010967","volume":"7","author":"C Li","year":"2015","unstructured":"Li C, Li Y, Jiang C, Wu Z, Wang Y, Yang X. Stent alone treatment for dissections and dissecting aneurysms involving the basilar artery. J Neurointerv Surg. 2015;7:50\u20135.","journal-title":"J Neurointerv Surg."},{"key":"2675_CR6","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1227\/00006123-199502000-00003","volume":"36","author":"E Pozzati","year":"1995","unstructured":"Pozzati E, Andreoli A, Padovani R, Nuzzo G. Dissecting aneurysms of the basilar artery. Neurosurgery. 1995;36:254\u20138.","journal-title":"Neurosurgery."},{"key":"2675_CR7","first-page":"1","volume":"13","author":"F Bernardo","year":"2019","unstructured":"Bernardo F, Nannoni S, Strambo D, Bartolini B, Michel P, Sirimarco G. Intravenous thrombolysis in acute ischemic stroke due to intracranial artery dissection: a single-center case series and a review of literature. J Thromb Thrombolysis. 2019;13:1\u20136.","journal-title":"J Thromb Thrombolysis."},{"key":"2675_CR8","doi-asserted-by":"publisher","first-page":"371","DOI":"10.1016\/j.jns.2015.09.368","volume":"358","author":"JY Kwon","year":"2015","unstructured":"Kwon JY, Kim N-Y, Suh DC, Kang DW, Kwon SU, Kim JS. Intracranial and extracranial arterial dissection presenting with ischemic stroke: lesion location and stroke mechanism. J Neurol Sci. 2015;358:371\u20136.","journal-title":"J Neurol Sci."}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02675-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13256-021-02675-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-02675-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T00:18:47Z","timestamp":1615249127000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-02675-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,9]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2675"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-02675-y","relation":{},"ISSN":["1752-1947"],"issn-type":[{"type":"electronic","value":"1752-1947"}],"subject":[],"published":{"date-parts":[[2021,3,9]]},"assertion":[{"value":"8 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 March 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"119"}}