The clinical presentation of basilar artery occlusion (BAO) ranges from mild transient symptoms to devastating strokes with high fatality and morbidity. Often, non-specific prodromal symptoms such as vertigo or headaches are indicative of BAO, and are followed by the hallmarks of BAO, including decreased consciousness, quadriparesis, pupillary and oculomotor abnormalities, dysarthria, and dysphagia.
What Is Basilar Artery Stroke?
The basilar artery is a vital vessel contributing to the posterior cerebral circulation. It is formed at the junction of the pons and medulla by the convergence of the dual vertebral arteries.
Intracranial stenosis is the narrowing of an artery inside the brain due to buildup of plaque inside the artery. The arteries most likely to be affected by stenosis are the internal carotid artery, the middle cerebral artery, the vertebral arteries, and the basilar artery.
Vertebrobasilar insufficiency is a condition characterized by poor blood flow to the posterior (back) portion of the brain, which is fed by two vertebral arteries that join to become the basilar artery. Blockage of these arteries occurs over time through a process called atherosclerosis, or the build-up of plaque.
The basilar artery is the main artery that supplies blood to the back portion of your brain. It carries oxygen-rich blood to your brainstem, cerebellum and occipital lobes. Several conditions, such as blood clots or aneurysms, can disrupt blood flow in your brain.
Most commonly, patients experiencing basilar artery occlusion exhibit acute neurologic signs including motor deficits, hemiparesis or quadriparesis, and facial palsies, dizziness, headache, and speech abnormalities–especially dysarthria and difficulty articulating words.
Vertebral artery stenosis (also called vertebrobasilar insufficiency) happens when the vertebral and basilar arteries at the base of the brain become blocked. These arteries supply blood to the brainstem and the cerebellum.
The basilar artery is a midline structure formed from the confluence of the vertebral arteries. Terminally, the basilar artery branches to establish the right and left posterior cerebral arteries. Along its course, the basilar artery gives off several branches.
Basal or basilar is a term meaning base, bottom, or minimum.
The basilar artery (BA) serves as the main conduit for blood flow through the posterior circulation. It directly supplies the brainstem and cerebellum and provides distal blood flow to the thalami and medial temporal and parietal lobes.
The risk factors for basilar artery thrombosis are the same as those seen generally in stroke. The most common risk factor is hypertension, which is found in as many as 70% of cases. It is followed by diabetes mellitus, coronary artery disease, peripheral vascular disease, cigarette smoking, and hyperlipidemia.
The basilar artery runs cranially in the central groove of the pons towards the midbrain within the pontine cistern. It travels within this groove from the lower pontine border adjacent to the exit of the abducens nerve to the upper pontine border and the appearance of the oculomotor nerve.
The basilar artery lies at the front of the brainstem in the midline and is formed from the union of the two vertebral arteries. Diagram of the arterial circulation at the base of the brain (inferior view). The basilar artery terminates by splitting into the left and right posterior cerebral arteries.
Branchesanterior inferior cerebellar,internal auditory (labyrinthine),superior cerebellar,pontine and.posteromedial arteries.
The carotid arteries can be felt on each side of the lower neck, immediately below the angle of the jaw. The vertebral arteries are located in the back of the neck near the spine and cannot be felt on physical exam.
The basilar artery is part of the blood supply system for the brain and central nervous system. It is formed where the two vertebral arteries join at the base of the skull. The basilar artery carries oxygenated blood to the cerebellum, brainstem, and occipital lobes.
the basilar arteryThe blood supply to the midbrain is via branches of the basilar artery, which bifurcates at the level of the third cranial nerves into a left and right posterior cerebral artery (PCA).
The anterior communicating, anterior cerebral, internal carotid, posterior communicating, posterior cerebral, and basilar arteries are all part of the circle of Willis (see Fig. 3-13).
Posterior Cerebral ArteryThe Posterior Cerebral Artery (PCA) supplies the occipital lobe, the inferior part of the temporal lobe, and various deep structures including the thalamus and the posterior limb of the internal capsule.
I65.1 is a valid billable ICD-10 diagnosis code for Occlusion and stenosis of basilar artery . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically. See also:
Cerebrovascular disease, stroke or cerebrovascular accident, is a vascular disease of the cerebral circulation. Arteries supplying oxygen to the brain are affected resulting in one of a number of cerebrovascular diseases. Most commonly this is a stroke or mini-stroke and sometimes can be a hemorrhagic stroke.
DRG Group #067-068 - Nonspecific cva and precerebral occlusion without infarct with MCC.
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code I65.1. Click on any term below to browse the alphabetical index.
This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 433.00 was previously used, I65.1 is the appropriate modern ICD10 code.