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Dolichoectasia of Vertebrobasilar Arteries as a Cause of Hydrocephalus and Ischemic Cerebral Stroke.
Am J Forensic Med Pathol. 2017 Dec; 38(4):359-361.AJ

Abstract

INTRODUCTION

Dolichoectasia of vertebrobasilar artery is a rare vasculopathy, which is characterized by ectasia, elongation, and tortuosity of the basilar artery.

CASE DESCRIPTION

A 85-year-old man was referred to the Clinic of Neurology with sudden-onset coma. A brain computed tomography scan showed remarkable fusiform dilatation with elongation of basilar artery, with compressive effect on brain stem. Autopsy confirmed existence of vertebrobasilar dolichoectasia, with organized old thrombus and partially with recent occlusive thrombosis. The histology and immunohistochemical staining were showing a loss of the elastic tissue with significant fibrosis in the tunica media and small groups of foam macrophages and cholesterol crystals in atherosclerotic plaque.

CONCLUSIONS

We presented a case of dolichoectasia of vertebrobasilar artery with an obstructive hydrocephalus, due to direct compression on pons and midbrain, which is an extremely rare entity. This case had been analyzed during the patient's life through clinical, laboratory, and radiology examinations and after he died through autopsy.

Authors+Show Affiliations

From the Departments of *Forensic Medicine and †Radiology, Faculty of Medicine, University of Nis; and ‡Private Hospital "Sava Surgery," Nis, Serbia.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

28915130

Citation

Zdravković, Miodrag, et al. "Dolichoectasia of Vertebrobasilar Arteries as a Cause of Hydrocephalus and Ischemic Cerebral Stroke." The American Journal of Forensic Medicine and Pathology, vol. 38, no. 4, 2017, pp. 359-361.
Zdravković M, Kostov M, Petrovic S, et al. Dolichoectasia of Vertebrobasilar Arteries as a Cause of Hydrocephalus and Ischemic Cerebral Stroke. Am J Forensic Med Pathol. 2017;38(4):359-361.
Zdravković, M., Kostov, M., Petrovic, S., & Zdravkovic, J. (2017). Dolichoectasia of Vertebrobasilar Arteries as a Cause of Hydrocephalus and Ischemic Cerebral Stroke. The American Journal of Forensic Medicine and Pathology, 38(4), 359-361. https://doi.org/10.1097/PAF.0000000000000348
Zdravković M, et al. Dolichoectasia of Vertebrobasilar Arteries as a Cause of Hydrocephalus and Ischemic Cerebral Stroke. Am J Forensic Med Pathol. 2017;38(4):359-361. PubMed PMID: 28915130.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dolichoectasia of Vertebrobasilar Arteries as a Cause of Hydrocephalus and Ischemic Cerebral Stroke. AU - Zdravković,Miodrag, AU - Kostov,Milos, AU - Petrovic,Sladjana, AU - Zdravkovic,Jovana, PY - 2017/9/16/pubmed PY - 2017/12/20/medline PY - 2017/9/16/entrez SP - 359 EP - 361 JF - The American journal of forensic medicine and pathology JO - Am J Forensic Med Pathol VL - 38 IS - 4 N2 - INTRODUCTION: Dolichoectasia of vertebrobasilar artery is a rare vasculopathy, which is characterized by ectasia, elongation, and tortuosity of the basilar artery. CASE DESCRIPTION: A 85-year-old man was referred to the Clinic of Neurology with sudden-onset coma. A brain computed tomography scan showed remarkable fusiform dilatation with elongation of basilar artery, with compressive effect on brain stem. Autopsy confirmed existence of vertebrobasilar dolichoectasia, with organized old thrombus and partially with recent occlusive thrombosis. The histology and immunohistochemical staining were showing a loss of the elastic tissue with significant fibrosis in the tunica media and small groups of foam macrophages and cholesterol crystals in atherosclerotic plaque. CONCLUSIONS: We presented a case of dolichoectasia of vertebrobasilar artery with an obstructive hydrocephalus, due to direct compression on pons and midbrain, which is an extremely rare entity. This case had been analyzed during the patient's life through clinical, laboratory, and radiology examinations and after he died through autopsy. SN - 1533-404X UR - https://www.unboundmedicine.com/medline/citation/28915130/Dolichoectasia_of_Vertebrobasilar_Arteries_as_a_Cause_of_Hydrocephalus_and_Ischemic_Cerebral_Stroke_ L2 - http://dx.doi.org/10.1097/PAF.0000000000000348 DB - PRIME DP - Unbound Medicine ER -