Headache, dizziness and bilateral hemiparesis.
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The basilar artery is dilated, elongated and tortuous. It compresses on the floor of the third ventricle causing mild obstructive hydrocephalus.
Vertebrobasilar dolichoectasia is usually asymptomatic and <10% of the patients have neurological symptoms. This patient presented with headache, dizziness and bilateral hemiparesis.