Vertebrobasilar Dolichoectasia Causing Symptomatic Hydrocephalus Due to Third Ventricular Compression

Yumiko Oishi, Ryo Ueda, Yuki Kuranari, Tomoyuki Imanishi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Vertebrobasilar dolichoectasia sometimes presents with symptoms related to mass effect like cranial nerve palsies, or with ischemia or hemorrhage. Symptomatic hydrocephalus as a complication of vertebrobasilar dolichoectasia is extremely uncommon. Furthermore, there are few cases of vertebrobasilar dolichoectasia, in which cerebrospinal fluid flow disorder mechanisms are clearly demonstrated in neuroimaging findings. Here, we describe a patient with vertebrobasilar dolichoectasia who presented with symptomatic hydrocephalus due to direct compression against the third ventricle, which was immediately relieved by ventriculoperitoneal shunt. This patient exhibited a progressive clinical course of acute hydrocephalus; however, a subclinical ventricular dilatation may have been present before the onset. Therefore, a careful follow-up is warranted to treat symptomatic hydrocephalus that may develop in patients with vertebrobasilar dolichoectasia.

Original languageEnglish
Pages (from-to)3503-3504
Number of pages2
JournalJournal of Stroke and Cerebrovascular Diseases
Volume27
Issue number12
DOIs
Publication statusPublished - 2018 Dec 1
Externally publishedYes

Keywords

  • cerebrospinal fluid flow disorder
  • hydrocephalus
  • third ventricle
  • ventriculoperitoneal shunt
  • vertebrobasilar dolichoectasia

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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