Vertebrobasilar dolichoectasia presenting simultaneously with ischemic and hemorrhagic strokes

Tia Chakraborty, Giuseppe Lanzino, Kelly D. Flemming

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Background: Vertebrobasilar dolichoectasia (VBDE) can present with brainstem- compressive symptoms, cerebral ischemia, or hemorrhage. Herein we describe a unique patient with VBDE who presented with hemorrhage and cerebral ischemia simultaneously. Case: Patient is a 76-year-old man presenting with an acute, symptomatic left pontine ischemic stroke heralded by ataxic dysarthria and right ataxic-hemiparesis. MRI scan of the brain demonstrated acute cerebral ischemia in the left pons, a small right thalamic hemorrhage, and evidence of VBDE. Conclusion: The perforating vessels branching off of the pathologic VBDE may result in both ischemia and hemorrhage. This is the first known case, to our knowledge, in which hemorrhage and cerebral ischemia occurred simultaneously.

Original languageEnglish (US)
Pages (from-to)296-297
Number of pages2
JournalJournal of Clinical Neuroscience
Volume61
DOIs
StatePublished - Mar 1 2019

Keywords

  • Fusiform aneurysm
  • Intracerebral hemorrhage
  • Ischemic stroke
  • Magnetic resonance imaging
  • Vertebrobasilar dolichoectasia

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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