“…Clinical presentation is variable. VBD is usually asymptomatic or may present with acute ischaemic phenomena (resulting from local thrombosis or embolism), haemorrhage following rupture, or chronic compression of surrounding structures (brainstem, cranial nerves, or the third ventricle with hydrocephalus) [ 1 , 2 ] . The reported case presented with an atypical evolution of arterial dolichoectasia.…”