Vertebral artery ectasia
Vertebral artery ectasia refers to an abnormal dilatation of the vertebral artery. It is also known as a Dolicoarterial loop (of Danziger).
Vertebral arterial wall thinning and elongation (usually age-related); majority are unilateral.
Occlusion of the carotid arteries (bilaterally) may precipitate vertebral artery dilatation as a compensatory mechanism for maintaining cerebral perfusion 1.
Symptoms occur due to radicular compression or pathologic fracture (rare) from extensive bone erosion.
Generally patient presents with headache, dizziness, sub occipital pain,nausea and vomiting.
- enlargement of the transverse foramen
- erosion of pedicle and posterolateral vertebral body expanding the intervertebral foramen
- extrinsic bone erosion seen in the midcervical segments, usually at C4-C5 level
better visualization of plain film findings
Best method to confirm the presence of a dolicoectatic loop or dolicoarterial loop.
Consider other vascular causes of pedicle erosion: