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Clinical-Medical Image - International Journal of Clinical & Medical Images (2023) Volume 10, Issue 4
Author(s): Abide Zakaria*, Elbakkari Assaad, Fikri Meriem, Mohamed Jidane and Touarssa Firdaousc
Department of Radiology, Specialty Hospital, Rabat, Morocco
Received: 21 March 2023, Manuscript No. ijcmi-23-92525; Editor assigned: 22 March 2023, Pre QC No. P-92525; Reviewed: 03 April 2023, QC No. Q-92525; Revised: 08 April 2023, Manuscript No. R-92525; Published: 15 April 2023, DOI:10.4172/2376-0249.1000888
Citation: Zakaria A, Assaad E, Meriem F, Jidane M and Firdaous T. (2023) Mega-Dolicho Vertebrobasilar System: An Unusual Cause of Cranial Pair Damage. Int J Clin Med Imaging 10:888.
Copyright: © 2023 Zakaria A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Intracranial arterial dolichoectasia is a dilatative arteriopathy involving the vertebro-basilar arteries in 80% of cases, referred to as megadolichobasilar anomaly. It is usually asymptomatic. It may present with compressive or ischemic symptoms.
Cerebral magnetic resonance imaging is the gold standard for diagnosis.
We report the case of a 44-year-old woman with no notable pathological history, suffering from vertigo and tinnitus on the left side for 2 months, rebellious to symptomatic treatments, the aftermath was marked by the installation of a left facial paralysis. A cerebral MRI was requested, showing a mega-dolicho vertebrobasilar system, responsible for a compression of the cranial pairs. Intracranial arterial dolichoectasia is a dilatative arteriopathy involving the vertebro-basilar arteries in 80% of cases, referred to as megadolicho-basilar anomaly [1]. It is a condition in which the vertebral/basilar artery (VBA) is elongated, distended and tortuous [2]. Its prevalence is 4.4% and it is more frequently seen in women. Its clinical presentation is broad and the prognosis is generally poor with a high mortality rate [3]. It is usually asymptomatic. It may present with compressive or ischemic symptoms [2]. The main location of AVB is the basilar artery alone (40%), followed by bilateral vertebral arteries, the basilar artery (22%) and both vertebral arteries (16%) [1]. Cerebral magnetic resonance imaging is the gold standard for diagnosis [3]. The diagnostic criteria for AVB are a basilar or vertebral artery diameter >4.5 mm or a deviation of any portion of these arteries greater than 10 mm from the shortest expected path, or a basilar artery length >29.5 mm or an intracranial vertebral artery length >23.5 mm [1].
Facial paralysis; Vertigo; Cerebral magnetic resonance imaging; Vertebro-basilar dolichoectasia
The authors are contributed equally and declare no competing interest.
[1] Andriamasinavalona RL, Mijoro R, Finiavana RN, Innocent I and Octavia DC, et al. (2022) Megadolicho basilar artery anomaly complicated by a thrombosed fusiform aneurysm and a left pontine stroke. Int J curr Res 14: 21785-21787.
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[2] Kansal R, Mahore A, Dange N and Kukreja S. (2011). Dolichoectasia of vertebrobasilar arteries as a cause of hydrocephalus. Journal of neurosciences in rural practice J Neurosci Rural Pract 2: 062-064.
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[3] Laverdeur C, Tadjouteu MA, Berenger CN, Gorur Y and Cardos B, et al. (2022) Severe hydrocephalus due to obstructive basilar dolichoectasia of the third ventricle. European Journal of Case Reports in Internal Medicine. Eur J Case Rep Intern Med 9: 003436
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