Management
| Patient no. | Occlusion | Management | Last follow-up | mRS |
|---|---|---|---|---|
| 1 | Right MCA occlusion | Conservative | 47 months, NIHSS 8 | 3 |
| 2 | Right MCA occlusion | Conservative | 27 months, NIHSS 2 | 1 |
| 3 | Right MCA occlusion | Wingspan stent placed across lesion | 51 months, NIHSS 5 | 3 |
| 4 | Right MCA occlusion | Balloon angioplasty | 44 months, NIHSS 4 | 2 |
| 5 | Occlusion basilar, no flow in post-PICA v4; flow down basilar from PCOMs | Conservative | 6 months, NIHSS 0 | 0 |
| 6 | L M1 occlusion with leptomeningeal collaterals | Initially conservative, followed by Wingspan stent placed across lesion after patient declined neurologically to NIHSS 13 | 3 months, NIHSS 12 | 3 |
| 7 | R Vert occluded past C4 with trickle flow from L V4 to narrow basilar artery | Conservative—still with weekly TIAs. Considering stenting | 2 months, NIHSS 0 | 2 |
| 8 | L P1 occlusion, L V4 irregular narrowing, dissection without hemorrhage | Conservative | 3 months, NIHSS 0 | 0 |
| 9 | R ICA occlusion and R M1 occlusion | Patient presented at hour 26 with completed R MCA infarct. Minimal PCA to MCA leptomeningeal collaterals were present. MRA at 2 years showed recanalization of R MCA and R ICA | 1 month, NIHSS 6 2 years, NIHSS 4 | 2 |
| 10 | L M1 occlusion | Conservative with resolution of occlusive stenosis | 6 months, NIHSS 2 | 2 |
ICA, internal carotid artery; L, left; MCA, middle cerebral artery; MRA, MR angiography; mRS, modified Rankin Scale; NIHSS, National Institutes of Health Stroke Scale; PCOM, posterior communicating artery; PICA, posterior inferior cerebellar artery; R, right; TIA, transient ischemic attack.