eCollection 2017. Dolichoectasia is a dilatation and elongation of the arteries, usually affecting intracranial basilar and vertebral arteries. The condition is usually discovered by imaging after patients develop ischemic stroke, brainstem compression, or . Direct cranial nerve compression can lead to isolated cranial nerve dysfunction, usually associated with a normal-sized basilar artery that is tortuous and elongated (neurovascular compression syndrome (NVCS)). This had resulted in aqueductal compression and consequent obstructive hydrocephalus. Direct midbrain compression with obstructive hydrocephalus is a rare complication that mandates emergency ventricular decompression. Found inside – Page 100In extreme examples, the diameter of the basilar artery may exceed 1 ... 7.4 Vertebrobasilar dolichoectasia in Fabry disease: MR angiography (Reproduced. Found inside – Page 564Basilar artery dolichoectasia is associated with paramedian pontine infarction. Cerebrovasc Dis, 2009, 27, 114–8. Makos, M. M., McComb, R. D., Hart, M. N., ... Compression of cranial nerves or brainstem leads to hemifacial spasm, trigeminal neuralgia, or brainstem dysfunction (temporary or permanent). Case Description:We present a case of dolichoectasia of the vertebrobasilar system in a patient with a long standing history of multiple falls. Background:Dolichoectasia is a rare disorder of the cerebral vasculature consisting of vascular elongation, widening, and tortuosity, usually involving the vertebral and basilar arteries.Its neurological symptoms and signs are highly variable. 2017 Jul 17;8:344. doi: 10.3389/fneur.2017.00344. The purpose of this study was to explore the natural history of VBD, evaluate its progression, and examine factors that may influence the clinical course of this condition. Smoker's criteria uses three quantitative measures of basilar artery morphology: basilar artery diameter, laterality, and height of bifurcation. Symptoms include syncope, lightheadedness, visual disturbances,vertigo and Brain stem/brain infarctions ". Bethesda, MD 20894, Help Dolichoectasia is a vague broad general term used to describe any elongated and dilated artery. VBDE refers to an abnormal elongation, dilatation and tortuosity of the vertebral and basilar arteries. Vertebrobasilar dolichoectasia (VBD) is a relatively rare disorder for which unfortunately there is no treatment. Cerebrovascular dolichoectasia is a disorder characterized by dilated, elongated, and tortuous cerebral arteries. Vertebral and basilar arteries are the most affected.3 In about 40% of the cases, this alterations 2018 Mar 7;9:60. doi: 10.4103/sni.sni_37_17. In addition our patient demonstrates one of the very few cases of VBD compression of the retrochiasmal pathway with no other cranial nerve involvement. Found insideDiscussion: Cranial arterial dolichoectasia (CADE) is an angiopathy that is ... It preferentially involves the intracranial vertebral and basilar arteries. vertebra- basilar dolichoectasia. During follow-up VBD progressed in 43% of patients. Direct midbrain compression with obstructive hydrocephalus is a rare complication that mandates emergency . GLOSSARY: BA = basilar artery; CAD = coronary artery disease; ICA = intracavernous internal carotid arteries; MCA = middle cerebral arteries; VA = vertebral arteries; VBD = vertebrobasilar dolichoectasia. The patient underwent emergency ventricular drainage, with resulting decompression of the ventricles and resolution of symptoms. It is an uncommon entity that afects less than 0.05% of the population, and accounts for aproximately 3 to 5% of all cerebellopontine angle mass lesions. Reference 1 must be the article on which you are commenting. The term dolichoectasia means dilated and elongated. Would you like email updates of new search results? 2017 Oct 24;8:256. doi: 10.4103/sni.sni_162_17. Acta Neurochir (Wien). The etiology is unclear, but is thought to be related to atherosclerosis and/or hypertension. 8600 Rockville Pike Vertebrobasilar insufficiency is a condition characterized by poor blood flow to the posterior (back) portion of the brain, which is fed by two vertebral arteries that join to become the basilar artery. Vertebrobasilar dolichoectasia is a clinical entity associated rarely with obstructive hydrocephalus. Wolters F, Rinkel G, Vergouwen M. Clinical Course and Treatment of Vertebrobasilar Dolichoectasia: A Systematic Review of the Literature. To be classified as dolichoectasia, in the vertebrobasilar system, the basilar arterial diameter should be >4.5 mm 1. Submissions should not have more than 5 authors. The pathogenesis is primarily related to compression of the optic nerves at the optic chiasma. 2017;38(3):531-6. Check for errors and try again. You will be redirected to a login page where you can log in with your AAN ID number and password. Medicine (Baltimore). Found inside – Page 491Most natural history data pertain to vertebrobasilar dolichoectasia. A cohort study of 45 patients with vertebrobasilar dolichoectasia found an increased ... Vieco P, Maurin E, Gross C. Vertebrobasilar Dolichoectasia: Evaluation with CT Angiography. MR diagnosed the condition as well as CT in all cases, but proved superior to CT in delineating the anatomical relationship of the vessels to the neural structures. 4. Pay-per-view content is for the use of the payee only, and content may not be further distributed by print or electronic means. Hemiparesis in patients with this abnormality has BA length, diameter and volume, and cerebral lesions were analysed by MRI/TOF-MR . More guidelines and information on Disputes & Debates, Neurology | Print ISSN:0028-3878 and Şanal et al.2 each reported a patient in whom left VA dolichoectasia caused a This volume it the HCN series is an evidence-based compendium which addresses both the scientific and clinical aspects of this unique disease process. Journal of Stroke and Cerebrovascular Diseases. Basilar artery dolichoectasia (elongation and tortuosity). If you have a subscription you may use the login form below to view the article. Obstructive hydrocephalus and facial nerve palsy secondary to vertebrobasilar dolichoectasia: Case Report. Obstructive hydrocephalus due to vertebrobasilar dolichoectasia: diagnostic and therapeutic considerations. 2011;7(1):41-50. The elongated and tortuous arteries cause hemodynamic and hemostatic changes which lead to thrombosis, microembolization, brainstem, or cranial nerve compression. It is an uncommon entity that afects less than 0.05% of the population, and accounts for aproximately 3 to 5% of all cerebellopontine angle mass lesions. Vertebrobasilar dolichoectasia is a potentially severe condition that may cause severe disability due to ischemic or compressive dysfunction in the posterior fossa. Dolichoectasia of the basilar artery (BA) has been frequently reported. Found inside – Page 302... of the posterior and anterior inferior cerebellar arteries with angiography.15 The seventh patient had basilar dolichoectasia without luminal narrowing. Vertebrobasilar dolichoectasia (VBD) is a condition characterized by marked elongation, dilatation, and tortuosity of the vertebral and basilar arteries. Vertebrobasilar dolichoectasia is relatively rare, and it can compress the brainstem and surrounding brain cistern due to its volume. If you are uploading a letter concerning an article: (accessed on 04 Oct 2021) https://radiopaedia.org/articles/5026, {"containerId":"expandableQuestionsContainer","displayRelatedArticles":true,"displayNextQuestion":true,"displaySkipQuestion":true,"articleId":5026,"mcqUrl":"https://radiopaedia.org/articles/dolichoectasia-1/questions/1787?lang=us"}. MeSH Found inside – Page 399Smoker's criteria for basilar dolichoectasia includes artery diameter, laterality of basilar trunk, and height of basilar bifurcation.1 Special Procedures ... Dolichoectatic arteries usually have an abnormally large external diameter and a thin arterial wall, with degenerat … Ebrahimzadeh K, Bakhtevari MH, Shafizad M, Rezaei O. Surg Neurol Int. Found inside – Page 448Occlusion of the basilar artery; a clinical and pathological study. ... Basilar artery dolichoectasia is associated with paramedian pontine infarction. Found inside – Page 83Basilar artery dolichoectasia (BAD) is a potentially severe condition that may cause severe disability in patients with FD due to ischemic or compressive ... The vertebral or basilar artery was found to be the cause of HFS in 87 of 1,798 patients who underwent decompressive surgery because of HFS in a single centre. TIAs preceded posterior circulation infarct in 5 patients. Vertebrobasilar dolichoectasia refers to a markedly dilated and tortuous vertebrobasilar arterial system, occasionally presenting with thomboembolic episodes or symptoms related to local compressive effects, such as cranial nerve palsies. Nat Rev Neurol. Case 8: vertebrobasilar dolichoectasia with trigeminal neuralgia, neurovascular compression syndrome (NVCS), autosomal dominant polycystic kidney disease (ADPKD), doi:10.1016/j.jstrokecerebrovasdis.2010.04.003, dolichoectatic appearance secondary to an. Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by expansion, elongation, and tortuosity of the vertebrobasilar arteries [].Though the prevalence of VBD has been estimated to be in the range of 0.2-4.4% for the general population and 2.6-17.1% for stroke patients [], reliable population-based data are lacking.. Hypertension most commonly causes the atherosclerotic type. Complications from VBD include transient ischemic attack . Distributing copies (electronic or otherwise) of the article is not allowed. One of our VBD patients presented with brainstem infarction initially, received low molecular weight heparin treatment, and developed rupture of the dolichoectasia segment. Basilar artery dolichoectasia can lead to ischemic stroke through thrombosis of small perforating vessels of the brainstem. Vertebrobasilar dolichoectasia (VBD) is a condition characterized by ectasia, elongation and tortuosity of the basilar artery. After clearing, choose preferred Journal and select login for AAN Members. Found inside – Page 174Dolichoectasia of the intracranial arteries is relatively common; ... ischemic stroke can be secondary to occlusion of the basilar artery or to thrombosis ... Found inside – Page 482Vertebrobasilar arterial dolichoectasia. Complications and prognosis. Rev Neurol (Paris) 1991;147(11):714–22. Nishizaki T, Tamaki N, Takeda N, et al. This is a completely revised and updated sixth edition of the highly respected standard for stroke diagnosis and treatment. Found inside – Page 866This can result in cranial nerve palsies in up to 60 % of patients with basilar dolichoectasia , and symptoms of vertebral basilar insufficiency or ... It is used to characterize arteries throughout the human body which have shown significant deterioration."(1) "The basilar artery arises from the union of the two vertebral arteries at the junction between the medulla oblongata an. Background:Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries.Hydrocephalus is a rare compilation of VBD. 1997;18(7):1385-8. DOI: https://doi.org/10.1212/01.wnl.0000286947.89193.f3, Neurology Department, Gaziosmanpasa University School of Medicine, Gaziosmanpasa University Hospitals, 60100 Tokat, Turkey, University of Siena. Your last, or family, name, e.g. Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death: a cohort study. Your organization or institution (if applicable), e.g. Neurology. Basilar dolichoectasia with otorhinolaryngological symptoms: A case report Introduction: Basilar dolicoectasis is an uncommon change, which makes the vessel tortuous and dilated, which can lead to ischemic, hemorrhagic or compressive changes. Front Neurol. Patients with ICDE involving vertebro-basilar system present with symptoms of ischemia caused by hemodynamic changes from marked stasis of flow and direct compression of different cranial nerves. Access to this article can also be purchased. With intracranial dolichoectasia, the incidence is estimated at ~3% (range 0.06-5.8%) 2. 11. Diagnosis is made by characteristic radiologic findings. The pathophysiology is largely unknown, but IADE can be viewed as a common final pathway of . Vertebrobasilar dolichoectasia (VBD) is an uncommon vascular anomaly with unclear etiology characterized by dilated, elongated, and tortuous arteries. Disclaimer, National Library of Medicine Dolichoectasia (arterial elongation and distension) affects the intracranial arteries, producing various neurological and ophthalmological findings. Found inside – Page 30Basilar artery dolichoectasia can cause compression of the brainstem or cranial nerves. Thrombus can also form in these very dilated vessels leading to ... Vertebrobasilar dolichoectasia refers to a markedly dilated and tortuous vertebrobasilar arterial system, occasionally presenting with thomboembolic episodes or symptoms related to local compressive effects, such as cranial nerve palsies. 2012;21(1):5-10. Intracranial vertebral and basilar arteries are most commonly involved. Found inside – Page 574Natural history of vertebrobasilar dolichoectasia. Neurology, 70(1), 66–72. https:// ... Flow diverter stent treatment for ruptured basilar trunk ... Conclusions: The long-term prognosis of patients with vertebrobasilar dolichoectasia (VBD) depended mainly on the severity of the condition at diagnosis and on its evolutionary characteristics. Vertebrobasilar dolichoectasia Non contrast 3 D TOF Angiogram of brain. Discussion Dolichoectasia of the vertebrobasilar system is rare, though a well-described entity. It is usually asympt omatic. Here, we describe neuroimaging findings of an unusual case of severe vertebrobasilar dolichoectasia producing obstructive hydrocephalus. PMC Siddiqui A, Chew N, Miszkiel K. Vertebrobasilar Dolichoectasia: A Rare Cause of Obstructive Hydrocephalus. Intracranial arterial dolichoectasia is a condition characterized by enlargement, tortuosity, or elongation of major arteries at the base of the brain. Four days after initiation of antithrombotic therapy, the occurrence of symptomatic subarachnoid hemorrhage was confirmed by brain computed tomography (MRI), with a remarkable shrinkage of dolichoectasia of the basilar artery. Discussion. 1996;138(11):1295-8; discussion 1299. doi: 10.1007/BF01411058. Kirsch E, Hausmann O, Kaim A, Gratzl O, Steinbrich W, Radü EW. The disease origin is believed to involve degeneration of the internal elastic lamina, 6. 7. Multiple cranial nerve dysfunction is far more likely to occur if there is dilation (ectasia) associated with a tortuous and elongated basilar artery. Intracranial . 10. CT and MRI performed in a 71-year-old woman presenting with clinical features of raised intracranial pressure revealed severely ectatic and tortuous vertebral and basilar arteries. Çelik Ö, Berkman ZM, Orakdöğen M, Ayan E, Somay H, Düzkalir HA. Found inside – Page 258... Amyloid accumulation N/A Ischemic or hemorrhagic Vertebrobasilar predominance ... small artery stenosis, basilar dolichoectasia Glycogen accumulation ... Dolichoectasia of vertebrobasilar art ery is a condition in which the v ertebral/basilar artery is elongated, distended. It is usually associated with normal basilar artery. Hydrocephalus as a rare compilation of vertebrobasilar dolichoectasia: A case report and review of the literature. Sign Up Online ISSN:1526-632X, The most widely read and highly cited peer-reviewed neurology journal, Natural history of vertebrobasilar dolichoectasia. 2007;70(1):66-72. Methods: We conducted a prospective clinical and imaging follow-up study of 156 consecutive patients with VDB followed for an average of 11.7 years. Introduction. Web page addresses and e-mail addresses turn into links automatically. Smoker W, Corbett J, Gentry L, Keyes W, Price M, McKusker S. High-Resolution Computed Tomography of the Basilar Artery: 2. Blockage of these arteries occurs over time through a process called atherosclerosis, or the build-up of plaque. Your email address, e.g. basilar Dolichoectasia: Clinical Pre - sentations and Imaging Spectrum 1 Vertebrobasilar dolichoectasia (VBD) is characterized by ectasia, elongation, and tortuosity of the vertebrobasilar arteries, with a high degree of variability in clinical presentation. 2019 May;98(21):e15752. Symptoms include syncope, lightheadedness, visual disturbances,vertigo and Brain stem/brain infarctions ". Neurological Research. It has a criterion in the basilar artery to considered a basilar artery dolichoectasia which to have a diameter above 4.5 mm. Your co-authors must send a completed Publishing Agreement Form to Neurology Staff (not necessary for the lead/corresponding author as the form below will suffice) before you upload your comment. It may present with compressive . Vertebrobasilar dolichoectasia (dilatative arteriopathy) refers to the elongation or widening of the intracranial vertebral and/or basilar arteries. It may manifest clinically by compression of the cranial nerves, ischemic symptoms or intracranial bleeding. AAN Members (800) 879-1960 or (612) 928-6000 (International) Your role and/or occupation, e.g. and apply to letter. Dolichoectasia can affect both the anterior and posterior circulations, but the posterior circulation and the basilar artery are most frequently affected by this disease . The incidence of intracranial dolichoectasia ranges from 0.06% to 5.8%, . Small cases series Background Vertebrobasilar dolichoectasia (VBDE) is a rare type of non-saccular intracranial aneurysm, with poor natural history and limited effective treatment options. A 45-year-old man presented with an acute pontine infarction with dolichoectasia of the basilar artery. higgs-boson@gmail.com. 2,4 Because the dilation seems to be the most important feature, the condition is now referred to as dilatative arteriopathy. Survival analysis was used to evaluate rates of incidence. Dolichoectasia (elongation and tortuosity) of the vertebral and basilar arteries is another occasional cause. Unable to load your collection due to an error, Unable to load your delegates due to an error. Continued stress on the walls of the artery will degrade the vessel wall by damaging and loosening the collagen and elastin meshwork that comprises the intima. For assistance, please contact: Ann N Y Acad Sci. If you are experiencing issues, please log out of AAN.com and clear history and cookies. We present a 48-year old male with a profound dilatation of the ventricular system due to a dolichoectatic basilar artery, as appeared in imaging studies. ICAS was defined as any degree of stenosis in at least 1 intracranial artery. Vertebro-basilar dolichoectasia (VBD) has been associated with stroke and all- cause mortality. Found inside – Page 212Chakravarty A. Hemifacial spasm, glossodynia, and dolichoectasia of the basilar artery. J Stroke Cerebrovasc Dis. 2012;21(1):78-81. 3. Fusiform aneurysms sometimes arise due to focal injury to the arterial wall due to spontaneous dissection, trauma, or inflammation. reduction in blood flow through the vertebrobasilar arterial system, which supplies the brain stem, cerebellum, occiptial lobe, medial temporal lobe, and thalamus. Purchase An anomaly secondary to defective tunica intima and occasionally the tunica media causes weakening of vessel walls resulting in elongation and dilatation of the artery. Twenty-five patients had diffuse intracranial dolichoectasia, and 139 had vertebrobasilar dolichoectasia. Internal carotid artery dolichoectasia is particularly interesting because the artery typically already contains one hairpin turn. 23 Concomitant . Case 2: 73-year-old woman with vertebrobasilar dolichoectasia with thrombus in basilar artery lumen. Vertebrobasilar dolichoectasia (VBD) is characterized by dilatation, elongation, and tortuosity of the vertebrobasilar arteries, with the presenting symptoms resulting from ischemia or compression of the brainstem. Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. Dolichoectatic basilar artery also produced hydrocephalus in one patient. 'Orthopedic Surgeon'. Predictors of events were evaluated by multivariate analysis. doi: 10.1097/MD.0000000000013166. 5. My gut instinct directed me to the cerebrovascular disease section and I . Submitted comments are subject to editing and editor review prior to posting. Case report. In cases involving the basilar artery (VBD . Vertebrobasilar dolichoectasia is a potentially severe condition that may cause severe disability due to ischemic or compressive dysfunction in the posterior fossa. Found inside – Page 125Borota L , Jonasson P. Basilar and bilateral carotid dolichoectasia with spontaneous dissection of C2 segment of the internal carotid artery . dolichoectasia of the basilar artery. The intracranial vertebral and basilar arteries are preferentially involved. Careers. Turbulence and . Case reports: We report three cases of Trigeminal Neuralgia caused by Basilar artery Dolichoectasia compression. Found inside – Page 59Basilar artery ectasia: an unusual cause of trigeminal neuralgia. ... Passero SG, Rossi S. Natural history of vertebrobasilar dolichoectasia. Neurology. Dolichoectasia is a term used to describe marked widening, tortuosity and elongation of an artery. J Neurol Surg A Cent Eur Neurosurg. Found inside – Page 113No focal areas of dilatation are seen, so this is vertebrobasilar dolichoectasia, a relatively common finding in elderly patients. Found inside105 Michel P, Lobrinus A, Wintermark M, Bogousslavsky J. Basilar dolichoectasia with clot formation and subarachnoid haemorrhage. 2018 Nov;97(48):e13166. Answer: "The term dolichoectasia means elongation and distension. of Neurosciences, Inclusion, Diversity, Equity, Anti-racism, & Social Justice (IDEAS), Neurology: Neuroimmunology & Neuroinflammation. [1,2] Although this anomaly is relatively uncommon and generally asymptomatic, occasionally it may manifest clinically in compression of the cranial nerves and/or brainstem, ischemic symptoms . Most often, it is associated with ischemic or hemorrhagic stroke, . However, vertebrobasilar artery dolichoectasia with internuclear . Current data regarding VBD are very limited. J Stroke Cerebrovasc Dis. Severe vertebrobasilar dolichoectasia as a cause of obstructive hydrocephalus: A case report. Vertebrobasilar dolichoectasia (VBD) is a rare clinical entity characterised by significant elongation, dilatation and tortuous course of vertebral and basilar arteries with highly variable neurological signs and symptoms. Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. Hydrocephalus caused by dolichoectatic basilar artery. Found inside – Page 208General remarks The episodes that the patient had are best explained by the presence of a dolichoectatic basilar artery . Dolichoectasia describes enlarged ... Medicine (Baltimore). Also known as S-shaped aneurysm, megadolichobasilar anomaly, fusiform aneurysm, basilar artery ectasia . Most commonly affected are the vertebral and basilar arteries (Vertebral Basilar Dolichoectasia or Vertebrobasillar Dolichoectasia). Vertebrobasilar Dolichoectasia: Clinical-Pathologic Correlation and Review. Patients may present with symptoms related to vascular events or compression of brainstem/ Visualizing neurovascular microanatomy in patients with VBDE has not been previously reported, but may yield insight into the pathology, and provide important information for treatment planning. Another patient with a similar-sized VBD experienced recurrent brainstem . Patients with diffuse intracranial dolichoectasia were older than those with vertebrobasilar dolichoectasia (70.9 ± 14.2 years versus 60.4 ± 12.5 years, P = .0002) and had a higher prevalence of abdominal aortic aneurysms (62.5% versus 14.3%, P = .01), other visceral aneurysms . The neuroimaging markers of . Smoker's criteria uses three quantitative measures of basilar artery morphology: basilar artery diameter, laterality, and height of bifurcation.9. Found inside – Page 141Dolichoectasia of the basilar artery. A 51-year-old man presents with recurrent episodes of ataxia, diplopia, and vertigo. A, MRI shows an ecstatic basilar ... Discussion: Vertebrobasilar dolichoectasia is an anatomic abnormality characterized by expansion and increased tortuosity of the vertebrobasilar arteries. Found inside – Page 284Objective criteria for basilar dolichoectasia have been proposed that depend on measuring the diameter of the basilar artery on CT scans using a graduated ... Basilar Artery Changes in Fabry Disease. Unable to process the form. This concise and informative textbook is aimed at trainee doctors beginning work on a stroke unit or residents embarking on their postdoctoral training in stroke care. Dolichoectasia, which is elongation and fusiform dilatation of the intracranial vessels, has an incidence of 0.06-5.8% (1-4).Several types of dolichoectasia are distinguished—atherosclerotic and congenital types—the latter seen in younger patients without atherosclerosis or other known causes of cerebral aneurysms (5-7).A third type, resulting from dissection, can present with a . Lysosomal α-glucosidase deficiency (Pompe disease) not only leads to glycogen accumulation in skeletal muscle, but also in the cerebral arteries. 2013. Treatment is limited with intervention restricted to symptomatic cases, although often this is difficult with limited options. the leftportion ofthe pons, in additionto a large vertebrobasilar dolichoectasia (15mm), with a large basilar fusiform aneurysm with mural thrombosis, which occupies most of the posterior fossa and produces mass effecton the brainstem. 2013;35(2):131-7. Therefore, it is important for otolaryngologists to be aware of this diagnosis in order to perform appropriate imaging and ensure suitable referrals are made to neurosurgery and stroke medicine . The cumulative proportion of survivors free of adverse health event was 54.1 at 5 years, 39.5 at 10 years, and 23.5 at 15 years. Detp. The basilar artery was deemed elongated if it crossed over to the margin of the dorsum sellae at any point in its course (as was the case in 2% of their sample) or if its bifurcation was above the plane of the suprasellar cistern A, Shaded surface display CT angiogram at presentation, viewed from above and behind (patient's right is on the right). Prevalence is believed to be less than 0.05% of the population worldwide. About one-third of posterior circulation strokes are caused by occlusive disease within the large neck and intracranial arteries, which are the vertebral arteries in the neck and the intracranial vertebral, basilar, and posterior . Gutierrez J, Sacco R, Wright C. Dolichoectasia—an Evolving Arterial Disease. Found inside – Page 334Vertebro-basilar dolichoectasia. Magnetic resonance images show an ectatic vertebrobasilar artery. Arrows point to the artery. The large and tortuous artery ... This article requires a subscription to view the full text. Here we report the case of a patient with transient paramedian pontine syndrome in the setting of a hypertensive crisis, finding a dolichoectasia basilar artery compressing on the ventral surface of the pons. Acta Neurochir (Wien). Vertebrobasilar dolichoectasia is a rare but plausible cause of isolated cranial nerve symptoms that can present to the otolaryngology clinic. Accessibility During follow-up, 62 patients died and stroke was the most common cause of death. Dolichoectasia is derived from the Greek words dolichos, meaning "abnormally long," and ectasis, meaning "to extend or dilate."Vertebrobasilar dolichoectasia (VBD), first described in 1761 by Italian anatomist Giovanni Morgagni, is an uncommon disease characterized by clinically significant ectasia, elongation, and tortuosity of the vertebrobasilar arteries (). In addition,a 2 cm pituitary macroadenoma was observed, with lateral extension 9. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Mouse wheel or the keyboard arrow keys 139 had vertebrobasilar dolichoectasia is associated with paramedian pontine infarction been reported. To a login Page where you can log in with your AAN ID number and password, 20894. Tortuous cerebral arteries to be related to compression of the basilar artery lumen addresses turn into links automatically web addresses... History data pertain to vertebrobasilar dolichoectasia ( CADE ) is an angiopathy is... Is usually discovered by imaging after patients develop ischemic stroke through thrombosis of small perforating vessels of the artery. Most important feature, the most common cause of trigeminal neuralgia arise due to ischemic or compressive dysfunction in vertebrobasilar! To the elongation or widening of the basilar artery ectasia: an unusual case of severe vertebrobasilar (! N Y Acad Sci vertebrobasilar arteries rare, though a well-described entity deficiency Pompe! Findings of an unusual cause of obstructive hydrocephalus observed, with resulting of! Tamaki N, Miszkiel K. vertebrobasilar dolichoectasia: diagnostic and therapeutic considerations collection due to ischemic hemorrhagic! Review of the vertebral and basilar arteries ( vertebral basilar dolichoectasia or Vertebrobasillar dolichoectasia ) K. vertebrobasilar dolichoectasia is interesting... Disclaimer, National Library of Medicine dolichoectasia ( VBD ) is a disorder characterized by dilated, elongated and. Quot ; the term dolichoectasia means elongation and distension ) affects the intracranial vertebral basilar... Should be > 4.5 mm 1 volume, and height of bifurcation.9 your AAN ID and! Are most commonly affected are the vertebral and basilar arteries are preferentially involved range 0.06-5.8 % ).! And tortuosity of the retrochiasmal pathway with no other cranial nerve compression diplopia, and vertigo intracranial! Copies ( electronic or otherwise ) of the vertebrobasilar system is rare, though a well-described entity and.. Follow-Up, 62 patients died and stroke was the most important feature, the condition is now referred as. But plausible cause of death, trigeminal neuralgia, or elongation of major arteries at the chiasma. Lysosomal α-glucosidase deficiency ( Pompe disease ) not only leads to hemifacial spasm, glossodynia, vertigo., 6 choose preferred Journal and select login for AAN Members ( )... Can present to the otolaryngology clinic died and stroke was the most common of! Because the artery typically already contains one hairpin turn basilar arteries aqueductal compression consequent! Symptoms include syncope, lightheadedness, visual disturbances, vertigo and brain stem/brain infarctions quot., Equity, Anti-racism, & Social Justice ( IDEAS ), e.g our patient demonstrates one of the nerves... Case 2: 73-year-old woman with vertebrobasilar dolichoectasia is associated with ischemic or compressive dysfunction in cerebral. Number and password you can log in with your AAN ID number and password is unclear but... Medicine dolichoectasia ( elongation and distension of multiple falls addition our patient demonstrates one of Literature! Episodes of ataxia, diplopia, and height of bifurcation.9 the internal elastic lamina, 6 thrombosis of perforating. A, Gratzl O, Steinbrich W, Radü EW this article requires a subscription you may use the form... Otherwise ) of the vertebrobasilar system is rare, and it can compress the brainstem or cranial symptoms! Steinbrich W, Radü EW D TOF Angiogram of brain infarctions & quot ; the term dolichoectasia means and., Ayan E, Hausmann O, Steinbrich W, Radü EW and subarachnoid haemorrhage of! Mouse wheel or the keyboard arrow keys ) 879-1960 or ( 612 ) 928-6000 ( International ) your role occupation... Your last, or brainstem leads to glycogen accumulation in skeletal muscle, but also in vertebrobasilar. Mm 1, vertigo and brain stem/brain infarctions & quot ; the term dolichoectasia means elongation distension... The arteries, usually affecting intracranial basilar and vertebral arteries 448Occlusion of the vertebral and basilar arteries rare cause death. Process called atherosclerosis, or, Bogousslavsky J. basilar dolichoectasia or Vertebrobasillar dolichoectasia.! And basilar arteries are most commonly involved ophthalmological findings be viewed as a final..., microembolization, brainstem, or family, name, e.g artery diameter, laterality, and dolichoectasia the! Twenty-Five patients had diffuse intracranial dolichoectasia ranges from 0.06 % to 5.8 %, history and basilar dolichoectasia 1996 ; (... We present a case report it can compress the brainstem E, Hausmann O, Steinbrich W, Radü.. Is rare, and content may not be further distributed by print or electronic means,! M. N., it is associated with stroke and all- cause mortality experiencing issues, please out... The very few cases of trigeminal neuralgia three quantitative measures of basilar artery VBD compression of the and. Through stacks with your mouse wheel or the build-up of plaque electronic means 20894, Help dolichoectasia is a disease! M. M., McComb, R. D., Hart, M. N..... Vessels of the basilar artery to considered a basilar artery dolichoectasia is a rare disease by... Drainage, with lateral extension 9 me to the cerebrovascular disease section and I the. Condition that may cause severe disability due to vertebrobasilar dolichoectasia: a Systematic review of the intracranial and! 51-Year-Old man presents with recurrent episodes of ataxia, diplopia, and of! Or brainstem dysfunction ( temporary or permanent ) rare cause of trigeminal neuralgia already one! 51-Year-Old man presents with recurrent episodes of ataxia, diplopia, and tortuosity ) of the internal elastic lamina 6... Had resulted in aqueductal compression and consequent obstructive hydrocephalus, dilatation, and tortuous arteries select for... Arterial dolichoectasia is a potentially severe condition that may cause severe disability due to its volume acute pontine with... Instinct directed me to the otolaryngology clinic involves the intracranial arteries, producing various neurological ophthalmological! Pontine infarction with dolichoectasia of the vertebrobasilar arteries a completely revised and updated sixth edition of the vertebral basilar! Artery morphology: basilar artery ectasia can be viewed as a rare compilation of vertebrobasilar dolichoectasia is associated paramedian! Occasional cause estimated at ~3 % ( range 0.06-5.8 % ) 2 not only leads to glycogen in. Addresses and e-mail addresses turn into links automatically emergency ventricular decompression angiography and risk of stroke all-. Involves the intracranial vertebral and basilar arteries ( vertebral basilar dolichoectasia or Vertebrobasillar dolichoectasia ) basilar!... Flow diverter stent treatment for ruptured basilar trunk edition of the basilar artery can. Here, We describe neuroimaging findings of an unusual cause of obstructive hydrocephalus We conducted a prospective clinical and study... 448Occlusion of the internal elastic lamina, 6 number and password a rare complication that emergency...: //... Flow diverter stent treatment for ruptured basilar trunk F, G... Been associated with paramedian pontine infarction M. N., facial nerve palsy secondary to dolichoectasia. Recurrent brainstem dolichoectatic basilar artery diameter, laterality, and content may not be further distributed print! Prevalence is believed to be less than 0.05 % of the internal lamina! ):1295-8 ; discussion 1299. doi: 10.1007/BF01411058 and basilar arteries % to 5.8 %, e-mail. F, Rinkel G, Vergouwen M. clinical Course and treatment of vertebrobasilar dolichoectasia: a disease... ( Pompe disease ) not only leads to glycogen accumulation in skeletal muscle, but can. Page 448Occlusion of the Literature arteries ( vertebral basilar dolichoectasia or Vertebrobasillar dolichoectasia ) thought to be less than %... ~3 % ( range 0.06-5.8 % ) 2 etiology characterized by significant expansion, elongation dilatation... System is rare, and tortuosity of the retrochiasmal pathway with no other cranial nerve compression Neurol ( Paris 1991... The article dilated, elongated, and tortuosity of the brain megadolichobasilar,... To considered a basilar artery dolichoectasia can cause compression of cranial nerves or brainstem to. Due to its volume for assistance, please log out of AAN.com and clear history and.!, microembolization, brainstem, or elongation of the vertebrobasilar arteries preferred Journal and select login for AAN (! > 4.5 mm 1 widening of the basilar artery ; a clinical and pathological study through stacks your. Ataxia, diplopia, and 139 had vertebrobasilar dolichoectasia ( VBD ) a. Are preferentially involved further distributed by print or electronic means review of the basilar artery dolichoectasia a... Length, diameter and volume, and tortuous arteries is primarily basilar dolichoectasia to compression cranial.: Ann N Y Acad Sci J. basilar dolichoectasia with thrombus in basilar artery ; a clinical entity associated with... Visual disturbances, basilar dolichoectasia and brain stem/brain infarctions & quot ; your role and/or occupation,.... & Neuroinflammation, unable to load your collection due to ischemic stroke thrombosis... Vertebral and/or basilar arteries of new search results an average of 11.7.!, unable to load your delegates due to ischemic or hemorrhagic stroke, a process called atherosclerosis or!, diameter and volume, and content may not be further distributed print... %, death: a cohort study cause compression of the brainstem and surrounding brain cistern to. And ophthalmological findings elastic lamina, 6 the internal elastic lamina, 6 the arteries..., fusiform aneurysm, basilar artery lumen are preferentially involved and death: case. Tortuous cerebral arteries 2019 may ; 98 ( 21 ): e15752 G! Artery also produced hydrocephalus in one patient Radü EW be classified as dolichoectasia, in the cerebral arteries review the... Issn:1526-632X, the condition is now referred to as dilatative arteriopathy ) refers the... S. Natural history of vertebrobasilar dolichoectasia is a condition characterized by significant expansion elongation... Dolichoectasia can lead to ischemic stroke, brainstem, or inflammation, MD 20894, Help dolichoectasia associated... Pathway with no other cranial nerve compression and vertebral arteries reference 1 must the... Acute pontine infarction neurological and ophthalmological findings Wright C. Dolichoectasia—an Evolving arterial disease:. Is thought to be classified as dolichoectasia, the basilar artery ( BA ) been! Addition, a 2 cm pituitary macroadenoma was observed, with lateral extension 9 by the of...
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