Vertebro-basilar artery syndrome
ICD-10 G45.0 is a billable code used to indicate a diagnosis of vertebro-basilar artery syndrome.
Vertebro-basilar artery syndrome refers to a group of neurological symptoms resulting from transient ischemic attacks (TIAs) or strokes affecting the vertebro-basilar circulation. This syndrome is characterized by a range of symptoms including dizziness, vertigo, visual disturbances, ataxia, and other neurological deficits that can arise from insufficient blood flow to the brainstem and cerebellum. The vertebro-basilar system supplies blood to critical areas of the brain responsible for balance, coordination, and vital functions. TIAs in this region can serve as warning signs for potential strokes, making early recognition and intervention crucial for stroke prevention. Patients may experience transient episodes of these symptoms, which can last from a few minutes to several hours, and may resolve completely. However, the risk of subsequent strokes is significantly increased, necessitating thorough evaluation and management of risk factors such as hypertension, diabetes, and hyperlipidemia. Effective management strategies include lifestyle modifications, antiplatelet therapy, and in some cases, surgical interventions to restore adequate blood flow.
Detailed neurological examination findings, including symptom onset and duration.
Patients presenting with dizziness, visual disturbances, or ataxia.
Ensure documentation reflects the transient nature of symptoms and any imaging results.
Comprehensive assessment of vascular risk factors and patient history.
Patients with risk factors for cerebrovascular disease presenting with TIAs.
Document lifestyle modifications and preventive measures taken.
Used for follow-up visits for patients with a history of vertebro-basilar artery syndrome.
Document history of present illness, review of systems, and assessment of risk factors.
Neurologists may require additional neurological assessments.
Symptoms can include dizziness, vertigo, visual disturbances, ataxia, and transient weakness or numbness, particularly affecting the limbs.
