Self-actualization, according to Maslow, represents the growth of an individual toward fulfillment of the highest needs. Maslow argues that only high acheivers are self-actualizers, but we are all in fact capable of self-actualization.
In a thrombotic stroke, a blood clot (thrombus) forms inside one of the brain's arteries. The clot blocks blood flow to a part of the brain. This causes brain cells in that area to stop functioning and die quickly.
Patients with vertebral artery stenosis had a much higher chance to have a posterior circulation stroke. Absolute risk remained low (in the higher risk group the annual risk for stroke was 0.4%). Also of note, most deaths in this cohort were vascular.