{"id":"3fdf1e3d-7fa2-44ed-bb5a-a3bdf30ba515","slug":"fatal-recurrent-ischemic-stroke-caused-by-vertebral-artery-stump-syndrome","title":"Fatal recurrent ischemic stroke caused by vertebral artery stump syndrome","authors":["Akinari Yamano","Yasunobu Nakai","Kazuki Akutagawa","Haruki Igarashi","Kazuaki Tsukada","Toshitsugu Terakado","Kazuya Uemura","Eiichi Ishikawa"],"abstract":"Background: Vertebral artery stump syndrome (VASS) develops into recurrent posterior circulation ischemic stroke after ipsilateral vertebral artery (VA) occlusion at its origin. Case Description: 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. Conclusion: Vigilance against early (and sometimes fatal) recurrent stroke induced by VASS is required.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/3fdf1e3d-7fa2-44ed-bb5a-a3bdf30ba515/featured/hero-1781562054849.png","publishDate":"2021-09-06T00:00:00.000Z","doi":"10.25259/SNI_384_2021","categories":["Neurovascular","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/3fdf1e3d-7fa2-44ed-bb5a-a3bdf30ba515/pdf"}