Clinical Course and MRI Changes of Basilar Artery Dolichoectasia: Three Case Reports

Idbaïh, Ahmed; Pico, Fernando; Guichard, J.-P.; Bousser, Marie Germaine; Chabriat, Hugues

doi:10.1159/000076963

Cited by 8 publications

(4 citation statements)

References 10 publications

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“…Idbaih et al demonstrated that VBD-related bleeding risk was associated with the extent as well as the speed of arterial dilatation. Thin arterial wall and rapid expansion are signs of VBD deterioration and hemorrhage 52.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

“…Therefore, the key is to prevent bleeding 1, 8, 28, 48, 49, 51, 52, 82. However, there is currently no accurate method to predict VBD-related bleeding.…”

Section: Treatment Strategiesmentioning

confidence: 99%

“…However, there is currently no accurate method to predict VBD-related bleeding. In VBD patients, bleeding is often associated with VBD expansion and growth rate, long-term hypertension, and the use of anticoagulant and antiplatelet drugs 48, 49, 51, 52. New ischemic symptoms may also indicate bleeding 28.…”

Section: Treatment Strategiesmentioning

confidence: 99%

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Research Progress on Vertebrobasilar Dolichoectasia

Yuan¹,

Xu²,

Luo³

et al. 2014

Int. J. Med. Sci.

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Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. Current data regarding VBD are very limited. Here we systematically review VBD incidence, etiology, characteristics, clinical manifestations, treatment strategies, and prognosis. The exact incidence rate of VBD remains unclear, but is estimated to be 1.3% of the population. The occurrence of VBD is thought to be due to the cooperation of multiple factors, including congenital factors, infections and immune status, and degenerative diseases. The VBD clinical manifestations are complex with ischemic stroke as the most common, followed by progressive compression of cranial nerves and the brain stem, cerebral hemorrhage, and hydrocephalus. Treatment of VBD remains difficult. Currently, there are no precise and effective treatments, and available treatments mainly target the complications of VBD. With the development of stent technology, however, it may become an effective treatment for VBD.

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Section: Clinical Manifestationsmentioning

confidence: 99%

“…Therefore, the key is to prevent bleeding 1, 8, 28, 48, 49, 51, 52, 82. However, there is currently no accurate method to predict VBD-related bleeding.…”

Section: Treatment Strategiesmentioning

confidence: 99%

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Research Progress on Vertebrobasilar Dolichoectasia

Yuan¹,

Xu²,

Luo³

et al. 2014

Int. J. Med. Sci.

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“…4,5 Magnetic resonance imaging (MRI) is a non-invasive and very important modality to demonstrate the VBD and brain pathology secondary to dolichoectasia. 6,7 CASE REPORT A 9-year-old girl was referred to our clinic with a 4-year history of esotropia ( Figure 1). Her eye examination was normal, apart from 60D esotropia with bilateral lateral rectus underaction.…”

Section: Introductionmentioning

confidence: 99%

Bilateral Abducens Paralysis Secondary to Compression of Abducens Nerve Roots by Vertebrobasilar Dolichoectasia

Tuzcu

Bayaroğulları

Çoşkun

et al. 2013

Neuro-Ophthalmology

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Vertebrobasilar dolichoectasia is characterized by dilatation, tortuosity, and marked elongation of the vertebral and basilar arteries. Dolichoectatic arteries usually have thin arterial walls secondary to degeneration of the internal elastic lamina, reticular fibre deficiency, and smooth muscle atrophy. This anomaly is relatively uncommon and generally asymptomatic. Clinical manifestations of dolichoectasia result from the compression and displacement of adjacent structures, causing cranial nerve palsy, obstructive hydrocephalus, or ischaemic stroke. The authors present a case in which vertebrobasilar dolichoectasia led to the development of bilateral abducens nerve paralysis in a 9-year-old girl.

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