Neurological Sciences

, Volume 40, Issue 10, pp 2007–2015 | Cite as

Posterior circulation ischemic stroke—a review part II: imaging and acute treatment

  • Marco SparacoEmail author
  • Ludovico Ciolli
  • Andrea Zini
Review Article


Posterior circulation strokes affect the vertebrobasilar arterial system, account for about 20–25% of all ischemic strokes, and are a significant cause of patient disability and mortality. Diagnosis can be challenging; clinical presentation and common pitfalls facing posterior circulation stroke have been discussed elsewhere. In the first part of the review, we focus on the imaging, discussing the information that can be gathered through a correct selection and interpretation of different possible studies helping to achieve an early diagnosis and to select the best medical treatment. In the second part of the review, we will discuss the best therapeutic treatments available at the moment for posterior circulation ischemia.


Posterior cerebral ischemia Imaging Endovascular therapy 


Author contributions

Dr. Sparaco: study design, manuscript drafting/revising, and study supervision

Dr. Ciolli and Dr. Zini: manuscript drafting/revising

Compliance with ethical standards

We performed a review of the literature about the state of art of vertebrobasilar stroke; therefore, our work involves neither human participants nor experiments on animals.

Conflict of interest

Marco Sparaco reports no disclosures.

Ludovico Ciolli reports no disclosures.

Andrea Zini reports received con consultancy and speaker fees from Boehringer-Ingelheim, Medtronic, Stryker, Daiichi Sankyo.


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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Division of Neurology with Stroke Unit, Department of NeurosciencesA.O. “San Pio”, P.O. “G. Rummo”BeneventoItaly
  2. 2.Stroke Unit, Neurology Unit, Department of Neuroscience, Ospedale Civile S.Agostino-EstenseModena University HospitalModenaItaly
  3. 3.UOC Neurologia e Rete Stroke metropolitana, Ospedale MaggioreIRCCS Istituto di Scienze Neurologiche di BolognaBolognaItaly

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