Basilar artery ectasia: A rare cause of sensorineural deafness

Campbell, Jeffrey B.; Pearman, K.; Nahl, S. S.

doi:10.1017/s0022215100099230

Cited by 5 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3,26,61 Diplopia also reflects involvement of the trochlear 16 and abducens nerves. 7,35 Visual symptoms may also be caused by compression of the optic nerve or chiasm, 2,41 as in Case 17. Other reported compressive cranial nerve syndromes include sensorineural deafness from acoustic nerve compression, 7,41 dysarthria and dysphagia, 41 multiple lower cranial nerve palsies, 18,22,41,43 glossopharyngeal neuralgia, 6 supranuclear ophthalmoplegia, and medial longitudinal fasciculus syndromes.…”

Section: Clinical Characteristicsmentioning

confidence: 99%

“…7,35 Visual symptoms may also be caused by compression of the optic nerve or chiasm, 2,41 as in Case 17. Other reported compressive cranial nerve syndromes include sensorineural deafness from acoustic nerve compression, 7,41 dysarthria and dysphagia, 41 multiple lower cranial nerve palsies, 18,22,41,43 glossopharyngeal neuralgia, 6 supranuclear ophthalmoplegia, and medial longitudinal fasciculus syndromes. 6,16,55 Enlarging basilar artery dolichoectatic aneurysms can also produce symptoms by direct compression of the brainstem and cerebellum, 4,46 as in 10 patients in our series.…”

Section: Clinical Characteristicsmentioning

confidence: 99%

See 1 more Smart Citation

Characteristics and surgical treatment of dolichoectatic and fusiform aneurysms

Anson

Lawton²,

Spetzler³

1996

Journal of Neurosurgery

280

148

View full text Add to dashboard Cite

Dolichoectatic and fusiform aneurysms represent a small subset of cerebral aneurysms and are often among the most difficult to treat. A consecutive series of 40 patients with 41 of these two types of aneurysms is presented, including their clinical characteristics and surgical treatments. Common to all aneurysms was the pathological involvement of a length of blood vessel with separate inflow and outflow sites (nonsaccular). However, dolichoectatic aneurysms have markedly different symptoms and surgical treatments depending on their location in either the anterior or posterior circulation. Anterior circulation aneurysms involved the petrous internal carotid artery (ICA) in one, the supraclinoid ICA in three, the middle cerebral artery in 13, and the anterior cerebral artery in four patients. Posterior circulation aneurysms involved the basilar artery in 13, the vertebral artery in six, and the posterior inferior cerebellar artery in one patient. Various surgical procedures were performed, including direct clipping, trapping with bypass, proximal occlusion, resection with reanastomosis, transposition, aneurysmorrhaphy with thrombectomy, and wrapping. There was no surgical mortality in the patient series, and treatment was effective in many patients. Overall, outcome at late follow up was good (Glasgow Outcome Scale scores 1-2) in 78% of patients. Patients with anterior circulation aneurysms had better outcomes than patients with posterior circulation aneurysms, with good outcomes in 90% and 65% of the cases, respectively. Dolichoectatic and giant serpentine aneurysms may develop from smaller fusiform aneurysms and represent a spectrum of the same pathological entity. Arterial dissection may also play a role in the initial development of these aneurysms.

show abstract