Hydrocephalus as a rare compilation of vertebrobasilar dolichoectasia: A case report and review of the literature

Ebrahimzadeh, Keveh; Bakhtevari, Mehrdad Hosseinzadeh; Shafizad, Misagh; Rezaei, Omidvar

doi:10.4103/sni.sni_162_17

Cited by 8 publications

(2 citation statements)

References 23 publications

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“…Male, advanced age, hypertension, smoking, and history of myocardial infarction were independent risk factors for VBD. [ 6 , 7 ] The physiological changes of VBD are extensive defects in the elastic membrane of the blood vessels and the lack of medial reticular fibers, which resulted in the expansion and tortuosity of the arterial wall under the impact of long-term blood flow. Atherosclerosis induced by hypertension can cause the above physiological changes in the blood vessel wall, thereby accelerating the process.…”

Section: Discussionmentioning

confidence: 99%

Successive occurrence of vertebrobasilar dolichectasia induced trigeminal neuralgia, vestibular paroxysmia and hemifacial spasm

et al. 2018

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Rationale:Study reported an extremely rare case of trigeminal neuralgia, vestibular paroxysmia, and hemifacial spasm successively occurring in a patient with vertebrobasilar dolichoectasia (VBD).Patient concerns:A 66-year-old female patient presented with episodic vertigo for 20 days before she was admitted to our hospital. Vertigo suddenly occurred when the patient rotated her head 20 days ago, the symptoms of vertigo were improved after continuous 1 to 3 seconds, and similar symptoms were repeated in sleep and rest, with a frequency of 30 to 40 times per day. The patient had a history of hypertension with poor blood pressure control for more than 20 years.Diagnoses:The final diagnosis was vertebrobasilar dolichectasia, right trigeminal neuralgia, and vestibular paroxysmia.Interventions:Vitamin B1 (10 mg), methylcobalamin (0.5 mg), and carbamazepine (0.1 g) were given orally 3 times a day to relieve the symptoms.Outcomes:On the seventh day of drug treatment, the symptoms of paroxysmal vertigo and trigeminal neuralgia were completely relieved, but occasional episodes occurred during the follow-up period. Five months after discharge, right hemifacial spasm appeared in the patient, which did not affect the quality of life of the patient, so the patient did not choose further treatment. Six months after discharge, the patient was lost to follow-up.Lessons:Comprehensive treatment to control VBD risk factors, delay the progression of VBD, and improve clinical symptoms may have a better effect on such patients. However, further research is needed.

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Section: Discussionmentioning

confidence: 99%

Successive occurrence of vertebrobasilar dolichectasia induced trigeminal neuralgia, vestibular paroxysmia and hemifacial spasm

et al. 2018

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“…При невозможности декомпрессии ствола путем прямого вмешательства предлагаются декомпрессивная трепанация задней черепной ямки [43,52] и шунтирование в случае окклюзии [44,53]. При компрессии каудальной группы черепных нервов и отсутствии эффекта от консервативной терапии в случае моносиндромального состояния рекомендуется прибегать к их мобилизации и транспозиции.…”

Section: Russian Journal Of Neurosurgeryunclassified

Non-saccular aneurysms: pathogenesis, clinic and methods of treatment (review)

Kravets

Pogosyan

2020

Nejrohirurgiâ (Mosk.)

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In clinical practice, we use the term “fusiform aneurysm” for local expansion of artery. Under this generic term specialists understand heterogeneous arterial pathology, which is very important for diagnosis and choosing the treatment. We conducted an analysis of scientific literature published in 1987–2019, including 63 foreign and 4 Russian sources devoted to pathogenesis and types of non-saccular aneurysms. Among non-saccular aneurysms, dolichoectatic aneurysms are distinguished, rather of genetically or non-atherosclerotic origin and fusiform aneurysm acquired due to dissection processes. Features of mechanisms of their formation, variants of clinical course and methods of treatment are presented.

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Vertebrobasilar Dolichoectasia Causing Symptomatic Hydrocephalus Due to Third Ventricular Compression

Oishi

Ueda

Kuranari

et al. 2018

Journal of Stroke and Cerebrovascular Diseases

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Hydrocephalus as a rare compilation of vertebrobasilar dolichoectasia: A case report and review of the literature

Cited by 8 publications

References 23 publications

Successive occurrence of vertebrobasilar dolichectasia induced trigeminal neuralgia, vestibular paroxysmia and hemifacial spasm

Successive occurrence of vertebrobasilar dolichectasia induced trigeminal neuralgia, vestibular paroxysmia and hemifacial spasm

Non-saccular aneurysms: pathogenesis, clinic and methods of treatment (review)

Vertebrobasilar Dolichoectasia Causing Symptomatic Hydrocephalus Due to Third Ventricular Compression

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