Vertebrobasilar Dolichoectasia
Article Sidebar
Views | PDF/EPUB Downloads:
16
/ 7
/ 4
Main Article Content
Abstract
Vertebrobasilar dolichoectasia (VBD) is an uncommon vasculopathy which causes enlargement, tortuosity, or elongation of vertebral
and basilar arteries. It is also called dilative arteriopathy. It is a rare anomaly with an incidence of 0.06%–5.8%. Posterior circulation
arteries are more commonly affected than anterior circulation arteries. More than 40% of patients with VBD are asymptomatic. It
may also present as ischemic stroke, hemorrhagic stroke, compression of cranial nerves and brainstem. VBD can be due to either
atherosclerosis or congenital abnormalities such as Marfan’s syndrome, Ehlers–Danlos syndrome, and Fabry’s disease. Here, we
describe a case of a 60-year–old male who presented with an episode of generalized seizure. His metabolic workup was negative for
seizure. As a part of evaluation, he underwent computed tomography (CT) scan of brain and magnetic resonance imaging of the brain
with magnetic resonance angiogram (MRA). His CT/MRA revealed VBD. He was treated with phenytoin and made a good recovery.
VBD presenting as stroke is well known in literature, but here we report a rare case of VBD presenting as seizure.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
How to Cite
References
1. de Oliveira Rde M, Cardeal JO, Lima JG. Basilar ectasia and stroke: Clinical aspects of 21 cases. Arq Neuropsiquiatr 1997;55:558‑62.
2. Ubogu EE, Zaidat OO. Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death: A cohort study. J Neurol Neurosurg Psychiatry 2004;75:22‑6.
3. Passero SG, Rossi S. Natural history of vertebrobasilar dolichoectasia. Neurology 2008;70:66‑72.
4. Passero S, Filosomi G. Posterior circulation infarcts in patients with vertebrobasilar dolichoectasia. Stroke 1998;29:653‑9.
5. Yu YL, Moseley IF, Pullicino P, McDonald WI. The clinical picture of ectasia of the intracerebral arteries. J Neurol Neurosurg Psychiatry 1982; 45:29‑36.
6. Ince B, Petty GW, Brown RD Jr., Chu CP, Sicks JD, Whisnant JP. Dolichoectasia of the intracranial arteries in patients with first ischemic stroke: A population‑based study. Neurology 1998; 50:1694‑8.