RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0039-3402536
Target Sign of Third Ventricle in Basilar Dolichoectasia with Multiple Clinical Presentations: A Case Report
Autoren
Funding None.
Abstract
Basilar dolichoectasia (BDE) is an uncommon anatomical variant usually detected incidentally or during stroke evaluation. BDE can occasionally become symptomatic and may present with stroke (infarct or hemorrhage), raised intracranial pressure due to obstructive hydrocephalus, or with cranial nerve palsies. We present a unique case of BDE presenting with obstructive hydrocephalus, stroke, and cranial nerve palsy in single patient and propose a radiological sign (target sign of third ventricle), which could aid in imaging diagnosis and further management.
Publikationsverlauf
Artikel online veröffentlicht:
02. März 2020
© 2020. Neurological Surgeons’ Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Passero SG, Rossi S, Giannini F. Natural history of vertebrobasilar dolichoectasia. Neurology 2008; 70 (01) 66-72
- 2 Mangrum WI, Huston III J, Link MJ. et al. Enlarging vertebrobasilar nonsaccular intracranial aneurysms: frequency, predictors, and clinical outcome of growth. J Neurosurg 2005; 102 (01) 72-79
- 3 Nakamura Y, Hirayama T, Ikeda K. Clinicoradiologic features of vertebrobasilar dolichoectasia in stroke patients. J Stroke Cerebrovasc Dis 2012; 21 (01) 5-10
- 4 Yu YL, Moseley IF, Pullicino P, McDonald WI. The clinical picture of ectasia of the intracerebral arteries. J Neurol Neurosurg Psychiatry 1982; 45 (01) 29-36
- 5 Kumral E, Kisabay A, Ataç C, Kaya C, Calli C. The mechanism of ischemic stroke in patients with dolichoectatic basilar artery. Eur J Neurol 2005; 12 (06) 437-444
- 6 Steel JG, Thomas HA, Strollo PJ. Fusiform basilar aneurysm as a cause of embolic stroke. Stroke 1982; 13 (05) 712-716
- 7 Ubogu EE, Zaidat OO. Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death: a cohort study. J Neurol Neurosurg Psychiatry 2004; 75 (01) 22-26
- 8 Echiverri HC, Rubino FA, Gupta SR, Gujrati M. Fusiform aneurysm of the vertebrobasilar arterial system. Stroke 1989; 20 (12) 1741-1747
- 9 Aiba T, Nakazawa T. Non-communicating hydrocephalus due to megadolichobasilar artery–case report. Neurol Med Chir (Tokyo) 1995; 35 (02) 104-106
- 10 Branco G, Goulão A, Ferro JM. MRI in aqueduct compression and obstructive hydrocephalus due to an ecstatic basilar artery. Neuroradiology 1993; 35 (06) 447-448
- 11 Ekbom K, Greitz T, Kugelberg E. Hydrocephalus due to ectasia of the basilar artery. J Neurol Sci 1969; 8 (03) 465-477
- 12 Marinescu M, Remy A, Dufour H, Derome P, Cambon H. [A peculiar mechanism of hydrocephalus: the “water-hammering” effect]. Neurochirurgie 1998; 44 (02) 117-120
- 13 Ricci G, Lenzi J, Esposito V. Hydrocephalus caused by dolichoectatic basilar artery. Case report. J Neurosurg Sci 2000; 44 (03) 155-158
- 14 Siddiqui A, Chew NS, Miszkiel K. Vertebrobasilar dolichoectasia: a rare cause of obstructive hydrocephalus: case report. Br J Radiol 2008; 81 (964) e123-e126
- 15 Smoker WRK, Corbett JJ, Gentry LR, Keyes WD, Price MJ, McKusker S. High-resolution computed tomography of the basilar artery: 2. Vertebrobasilar dolichoectasia: clinical-pathologic correlation and review. Am J Neuroradiol 1986; 7 (01) 61-72
- 16 Breig A, Ekbom K, Greitz T, Kugelberg E. Hydrocephalus due to elongated basilar artery. A new clinicoradiological syndrome. Lancet 1967; 1: 874-875
- 17 Rozario RA, Levine HL, Scott RM. Obstructive hydrocephalus secondary to an ectatic basilar artery surgical Neurology. 1978; 9 (01) 31-34
- 18 Healy JF, Well MV. HYPERLINK “https://www.ncbi.nlm.nih.gov/pubmed/?term=Rosenkrantz%20H%5BAuthor%5D&cauthor=true&cauthor_uid=6976881”. Rosenkrantz H. Computed tomography demonstration of enlarged ectatic basilar artery associated with obstruction of anterior third ventricle compression Radiology. 1981; 5 (04) 239-245
- 19 Branco G, Ginlao A, Ferro JM. MRI in aqueduct compression and obstructive HCP due to ectatic basilar artery. Neuroradiology 1993; 35 (06) 447-448
- 20 Weber MA, Steiner T, Fiebach J. Ungewöhnliche Ursache einer akuten Bewusstseinseintrübung. Radiologe 2002; 42: 833-836
- 21 Thiex R, Mull M. Basilar megadolicho trunk causing obstructive hydrocephalus at the foramina of Monro. Surgical Neurology 2006; 65 (02) 199-201
- 22 Kansal R, Mahore A, Dange N, Kukreja S. Dolichoectasia of vertebrobasilar arteries as a cause of hydrocephalus. Journal of Neurosciences in Rural Practice 2011; 2 (01) 62-64
- 23 Seshadri R, Sadashiva N, Shukla D, Saini J, Pandey P. Vertebrobasilar dolichoectasia presenting as symptomatic obstructive hydrocephalus: A case report with review of literature. IJNS 2012; 1 (02) 165-168
- 24 Çelik Ö, Berkman ZM, Orakdöğen M, Ayan E, Somay H, Düzkalir HA. Obstructive hydrocephalus due to vertebrobasilar dolichoectasia: diagnostic and therapeutic considerations. J Neurol Surg A Cent Eur Neurosurg 2013; 74 (Suppl. 01) e4-e8
- 25 Zisimopoulou V, Ntouniadaki A, Aggelidakis P, Siatouni A, Gatzonis S, Tavernarakis A. Vertebrobasilar Dolichoectasia Induced Hydrocephalus: the Water-Hammer Effect. Clin Pract 2015; 5 (02) 749
- 26 Ebrahimzadeh K, Bakhtevari MH, Shafizad M, Rezaei O. Hydrocephalus as a rare complication of vertebrobasilar dolichoectasia: a case report and review of literature. Surgical Neurology International 2017; 8: 256