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Sixteen patients with acute occlusion of the basilar artery were treated with systemic fibrinolysis.Recanalisation was achieved in 10 patients,five patients survived and 11 patients died.Survival was associated with vascular recanalisation in every case.Most of the survivors were a younger than 50.An age above 50 and a comatose state on admission seem to indicate a poor clinical outcome.The problem of multimorbidity in the older age group also affects outcome adversely.Haemorrhagic complications were found in two cases(12.5%),with clinical deterioration in one. |
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