Vertebrobasilar dolichoectasia

Case contributed by Adesola Abiodun Asaleye
Diagnosis certain

Presentation

Headache, dizziness and bilateral hemiparesis.

Patient Data

Age: 50 years
Gender: Male

Brain

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
Download
Info

The basilar artery is dilated, elongated and tortuous. It compresses on the floor of the third ventricle causing mild obstructive hydrocephalus.

Case Discussion

Vertebrobasilar dolichoectasia is usually asymptomatic and <10% of the patients have neurological symptoms. This patient presented with headache, dizziness and bilateral hemiparesis.

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