{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T14:27:59Z","timestamp":1783434479104,"version":"3.54.6"},"reference-count":17,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Vertebral artery stump syndrome (VASS) develops into recurrent posterior circulation ischemic stroke after ipsilateral vertebral artery (VA) occlusion at its origin.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>The patient was a 46-year-old man with the right posterior cerebral artery occlusion. We used a recombinant tissue plasminogen activator (rt-PA) and then performed mechanical thrombectomy using a stent retriever. Angiography revealed left VA occlusion and stagnant flow to the left VA from the right deep cervical artery; therefore, we diagnosed VASS. Within 24 h of the rt-PA injection, the symptoms had dramatically improved, and so we avoided additional antithrombotic agents. Only 13 h later, the patient developed a basilar artery occlusion and died in spite of a repeated mechanical thrombectomy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>Vigilance against early (and sometimes fatal) recurrent stroke induced by VASS is required.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_384_2021","type":"journal-article","created":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T07:09:55Z","timestamp":1630912195000},"page":"445","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Fatal recurrent ischemic stroke caused by vertebral artery stump syndrome"],"prefix":"10.25259","volume":"12","author":[{"given":"Akinari","family":"Yamano","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasunobu","family":"Nakai","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Akutagawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haruki","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuaki","family":"Tsukada","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshitsugu","family":"Terakado","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tsukuba Medical Center Hospital, Tsukuba, Ibaraki, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiichi","family":"Ishikawa","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tsukuba, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2021,9,6]]},"reference":[{"key":"10.25259\/SNI_384_2021\/ref-1","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1161\/STROKEAHA.111.625574","article-title":"The argatroban and tissue-type plasminogen activator stroke study: final results of a pilot 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