Vertebrobasilar dolichoectasia

Case contributed by Dr Adesola Asaleye

Presentation

Headache, dizziness and bilateral hemiparesis.

Patient Data

Age: 50 years
Gender: Male
CT

Brain

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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Case information

rID: 72115
Published: 13th Dec 2019
Last edited: 13th Dec 2019
Inclusion in quiz mode: Included
Institution: Radiology Department, Clinix Healthcare, Lagos, Nigeria.

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