What Is Basilar Artery Stroke?

Table of Contents
View All
Table of Contents

Stroke affects nearly 800,000 Americans each year. It is the fifth leading cause of death in the United States. A basilar artery stroke occurs when blood flow to the brain is interrupted. This can happen if the vessel becomes blocked (an ischemic stroke) or ruptured (hemmorhagic stroke).

The basilar artery is located at the base of the brain, where the two vertebral arteries come together. It serves as the main blood supply to the back of the brain, and delivers oxygenated blood to the occipital lobes, cerebellum, and brainstem.

Read on to learn more about the causes, symptoms, and treatment for strokes in the basilar artery.

The brainstem coordinates movement and balance and plays a major role in sleep, digestion, swallowing, breathing, vision, and heart rate. A basilar artery stroke can impact the brainstem, which can be devastating and lead to long-term disabilities or even death.

Basilar Artery Stroke Symptoms

Strokes occur when blood vessels to the brain are blocked or damaged. Nearly 90% of strokes are ischemic; of these, fewer than 5% occur in the basilar artery.

A basilar artery stroke is a type of posterior stroke, which means it affects circulation at the back of the brain. Because the basilar artery supplies blood to the cerebellum, occipital lobes, and brain stem, all of which have different functions, this type of stroke can present in a number of different ways.

Symptoms of a stroke (regardless of type) can include:

  • Severe headache (without a cause)
  • Numbness or weakness in the leg, arm or face
  • Dizziness, loss of balance, or trouble walking
  • Double vision or loss of vision
  • Loss of coordination
  • Difficulty swallowing
  • Trouble breathing
  • Speech problems
  • Nausea
  • Memory loss
  • Incontinence
  • Headache
  • Sweating

Basilar artery strokes and other posterior circulation strokes can present with many of these symptoms, but the most common are a lack of balance, vertigo, slurred speech, headache, nausea, and vomiting. Though these symptoms can come on suddenly, signs of posterior strokes sometimes come on gradually, or come and go.

Causes

There are a number of conditions that can increase your risk of having a stroke. These include:

  • Blood clots
  • Atherosclerosis (hardening of the arteries)
  • Smoking
  • High blood pressure
  • Diabetes
  • Elevated cholesterol levels
  • Rupture of an artery
  • Connective tissue diseases
  • Vasculitis (inflammation of the blood vessels)
  • Previous stroke
  • Orthopedic condition or injury of the neck
Lists Of Smoking Related Diseases Continues To Grow NEW YORK, NY - JANUARY 17: A woman smokes a cigarette on January 17, 2014 in Times Square in New York City. A new report from the Surgeon General shows the that list of negative side effects and diseases caused by cigarettes continues to grow, including diabetes, rheumatoid arthritis and erectile dysfunction.

Andrew Burton / Getty Images

Diagnosis

Strokes that occur in the basilar artery can affect the body functions controlled by the brainstem, cerebellum, and occipital lobes. This can make this type of stroke difficult to diagnose because the symptoms can vary significantly. To start, your doctor will conduct a simple neurological examination to assess your symptoms.

To confirm stroke diagnosis, your doctor will perform a set of tests that could include:

Once your doctor has determined whether or not you've had a stroke, they will conduct additional tests to learn what caused it. They will likely perform blood tests as well as an ultrasound to check to see if your arteries have narrowed. Other tests could include:

  • Echocardiogram: Used to assess the structure and function of your heart
  • Electrocardiogram (ECG/EKG): Used to monitor the rhythm of the heart (could be performed using a Holter monitor)

Treatment

A stroke is a medical emergency and needs to be treated immediately.

Basilar artery strokes are treated like other types of ischemic stroke. The goal is to clear the blockage in the artery. Treatment may include administration of intravenous (IV) tissue plasminogen activator (tPA). This can be an effective "clot-busting" drug, but must be given within three hours of the onset of symptoms.

Your doctor could also recommend a thrombectomy, a surgical procedure that involves inserting a catheter up to the blocked artery to manually remove the clot. Ideally, this procedure should be performed within six hours of stroke symptoms, but can be beneficial if performed within 24 hours.

Prevention

While certain risk factors such as age, gender, heredity, and ethnicity are uncontrollable, other conditions are. Taking steps to adjust lifestyle choices can help you control your risk.

You can lower your risk of stroke by:

Your doctor may prescribe blood-thinning drugs to prevent clots. They may also recommend drugs to lower your blood pressure or statins to keep your cholesterol under control.

Summary

The basilar artery plays a critical role in supplying blood to regions of the brain like the cerebellum, brainstem, and occipital lobes. If this vessel is compromised in some way, a stroke can occur. A stroke in the basilar artery can have devastating results. Prevention is key.

A Word From Verywell

A stroke is a medical emergency that requires immediate care. Understanding the symptoms and seeking immediate care can help you or a loved one minimize the long-term effects of stroke. If you have known risk factors for stroke, talk to your doctor about how you can lower your risk and improve the health of your blood vessels.

Was this page helpful?
Article Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. Demel SL, Broderick JP. Basilar occlusion syndromes: an updateNeurohospitalist. 2015;5(3):142–150. doi:10.1177/1941874415583847

  2. Demel SL, Broderick JP. Basilar occlusion syndromes: an updateThe Neurohospitalist. 2015;5(3):142-150. doi:10.1177/1941874415583847

  3. Johns Hopkins Medicine. Stroke.

  4. American Stroke Association. Learn more stroke warning signs and symptoms. Reviewed June 10, 2021.

  5. Go S. Posterior circulation ischemic strokeMo Med. 2015;112(3):192-196. PMID:26168589

  6. American Heart Association. How high blood pressure can lead to stroke. Reviewed October 31, 2016.

  7. Knap D, Kirmes T. Treatment of basilar artery occlusion using various techniques of interventional radiologyJ Vasc Med Surg. 2016;04(01). doi:10.4172/2329-6925.1000241

  8. Francalanza I, Ciacciarelli A, Caragliano AA. Acute stroke treatment in patients with basilar artery occlusion: a single-center observational studyCerebrovascular Diseases Extra. 2019;9(2):90-97. doi:10.1159/000502084

  9. American Stroke Association. Ischemic stroke treatment. Reviewed December 5, 2018.