Vertebrobasilar insufficiency. A review

Arch Neurol. 1985 Aug;42(8):803-8. doi: 10.1001/archneur.1985.04210090071021.


After critically reviewing the last 50 years' literature pertaining to vertebrobasilar insufficiency, we reached the following conclusions: One can seldom accurately localize vascular pathologic lesions in the posterior circulation by clinical examination alone. The symptoms of vertebrobasilar insufficiency have multiple causes. Stenotic and occlusive lesions have been found at every level of the vertebrobasilar circulation. Currently, a complete investigation requires four-vessel cerebral angiography. No therapeutic modality, medical or surgical, has been proved unequivocably to be of benefit. New surgical approaches to the vertebrobasilar circulation that show promise in providing alternative methods of treatment have been developed.

Publication types

  • Historical Article

MeSH terms

  • Anticoagulants / therapeutic use
  • Arterial Occlusive Diseases / diagnosis
  • Arterial Occlusive Diseases / history
  • Arterial Occlusive Diseases / therapy
  • Basilar Artery
  • Cerebellum / blood supply
  • Cerebral Angiography
  • Embolism / complications
  • History, 20th Century
  • Humans
  • Ischemic Attack, Transient / complications
  • Vertebral Artery
  • Vertebrobasilar Insufficiency / diagnosis
  • Vertebrobasilar Insufficiency / drug therapy
  • Vertebrobasilar Insufficiency / etiology
  • Vertebrobasilar Insufficiency / history*
  • Vertebrobasilar Insufficiency / therapy


  • Anticoagulants