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Indian Journal of Neurosurgery 2012; 01(02): 165-168
DOI: 10.4103/2277-9167.102296
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Vertebrobasilar dolichoectasia presenting as symptomatic obstructive hydrocephalus: A case report with review of literature

Roopa Seshadri
,
Nishant Sadashiva
1   Department of Neurosurgery and NIIR, NIMHANS, Bangalore, Karnataka, India
,
Dhaval Shukla
1   Department of Neurosurgery and NIIR, NIMHANS, Bangalore, Karnataka, India
,
Jitender Saini
,
Paritosh Pandey
1   Department of Neurosurgery and NIIR, NIMHANS, Bangalore, Karnataka, India
› Author Affiliations
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Publication History

Publication Date:
18 January 2017 (online)

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Abstract

Vertebrobasilar dolichoectasia (VBD) is a common, but usually asymptomatic condition characterized by marked elongation, dilatation, and tortousity of the vertebral and basilar arteries. VBD can sometimes present with symptoms related to mass effect like cranial nerve palsies, or with ischemia or hemorrhage. Hydrocephalus is an extremely uncommon presentation of VBD. We describe here a patient with VBD who presented with symptomatic hydrocephalus due to third ventricular obstruction, which was relieved by ventriculoperitoneal shunt.

Key words

CTA - hydrocephalus - MRI - shunt - vertebrobasilar dolichoectasia
 

  • References

  • 1 Resta M, Gentile MA, Di Cuonzo F, Vinjau E, Brindicci D, Carella A. Clinical-angiographic correlations in 132 patients with megadolichovertebrobasilar anomaly. Neuroradiology 1984; 26: 213-216
    CrossrefPubMedGoogle Scholar
  • 2 Giang DW, Perlin SJ, Monajati A, Kido DJ, Hollander J. Vertebrobasilar dolichoectasia: Assessment using MR. Neuroradiology 1988; 30: 518-523
    CrossrefPubMedGoogle Scholar
  • 3 Smoker WR, Price MJ, Keyes WD, Corbett JJ, Gentry LR. High-resolution computed tomography of the basilar artery: 1. normal size and position. AJNR Am J Neuroradiol 1986; 7: 55-60
    PubMedGoogle Scholar
  • 4 Passero S, Filosomi G. Posterior circulation infarcts in patients with vertebrobasilar dolichoectasia. Stroke 1998; 29: 653-659
    CrossrefPubMedGoogle Scholar
  • 5 Titlic M, Vrebalov-Cindro V, Lahman-Doric M, Buca A, Jukic I, Tonkic A. Hemifacial spasm in vertebrobasilar dolichoectasia. Acta Neurol Belg 2006; 106: 23-25
    PubMedGoogle Scholar
  • 6 Thiex R, Mull M. Basilar megadolicho trunk causing obstructive hydrocephalus at the foramina of Monro. Surg Neurol 2006; 65: 199-201
    CrossrefPubMedGoogle Scholar
  • 7 Rozario RA, Levine HL, Scott RM. Obstructive hydrocephalus secondary to an ectatic basilar artery. Surg Neurol 1978; 9: 31-34
    PubMedGoogle Scholar
  • 8 Siddiqui A, Chew NS, Miszkiel K. Vertebrobasilar dolichoectasia: A rare cause of obstructive hydrocephalus: Case report. Br J Radiol 2008; 81: e123-e126
    CrossrefPubMedGoogle Scholar
  • 9 Marinescu M, Remy A, Dufour H, Derome P, Cambon H. A peculiar mechanism of hydrocephalus: The “water-hammering” effect. Neurochirurgie 1998; 44: 117-120
    PubMedGoogle Scholar
  • 10 Ikeda K, Nakamura Y, Hirayama T, Sekine T, Nagata R, Kano O. et al Cardiovascular risk and neuroradiological profiles in asymptomatic vertebrobasilar dolichoectasia. Cerebrovasc Dis 2010; 30: 23-28
    CrossrefPubMedGoogle Scholar