Phuyal, SubashDawadi, KapilPaudel, RajuLamsal, RiteshAgrawal, Pooja2026-08-062026-08-062020https://hdl.handle.net/20.500.14572/7149Subash Phuyal Department of Neuroimaging and Interventional Neuroradiology, Grande International Hospital, Kathmandu, Nepal Kapil Dawadi Department of Radiology, Grande International Hospital, Kathmandu, Nepal Raju Paudel Department of Neurology, Grande International Hospital, Kathmandu, Nepal Ritesh Lamsal Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal Pooja Agrawal Department of Radiology, Norvic International Hospital, Kathmandu, NepalAbstract Posterior circulation strokes are potentially devastating events that carry a significant risk of morbidity and mortality. Acute basilar artery occlusion stroke is a rare posterior circulation stroke that needs emergent management. We report the case of a 67-year-old woman who developed an acute basilar artery occlusion. We achieved complete recanalization of the occluded basilar artery and its branches with endovascular mechanical thrombectomy. It is possible to achieve excellent results with mechanical thrombectomy in acute basilar artery occlusion if timely diagnosis and reperfusion can be done. We are not aware of any previous publication from Nepal describing this technique in acute basilar artery occlusion. Keywords: basilar artery; case report; posterior circulation; stroke; thrombectomy.en-USbasilar arterycase reportposterior circulationstrokethrombectomyArticle