AI Article Synopsis
- Vertebro-basilar dolichoectasia (VBD) is a rare and serious condition with an unclear cause, leading to a poor prognosis and high mortality rate.
- A case study highlights how VBD was discovered in a patient experiencing altered mental status, with brain imaging revealing severe hydrocephalus due to third ventricle compression.
- Despite surgical attempts to manage the condition, including placing an external ventricular shunt, the patient unfortunately died, underlining the challenges in treating VBD.
Article Abstract
Unlabelled: Vertebro-basilar dolichoectasia (VBD) is a rare pathology of unknown aetiology. Its clinical presentation is wide and prognosis is generally poor with a high mortality rate. Cerebral magnetic resonance imaging is the gold standard for diagnosis. We report an unusual case of intracranial dolichoectasia. VBD was revealed during investigation of a patient with altered mental status. CT brain imaging demonstrated severe obstructive hydrocephalus secondary to compression of the third ventricle. Management is always challenging and depends on the location and the mode of presentation. Our patient died despite surgical management with placement of an external ventricular shunt.
Learning Points: Vertebro-basilar dolichoectasia is a little known cause of altered mental status in elderly patients.An atypical presentation of vertebro-basilar dolichoectasia can mimic extensive cerebrovascular haemorrhage.The prognosis is poor despite prompt diagnosis and the surgical treatment of choice.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9426960 | PMC |
| http://dx.doi.org/10.12890/2022_003436 | DOI Listing |
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Article Synopsis
- Vertebro-basilar dolichoectasia (VBD) is a rare and serious condition with an unclear cause, leading to a poor prognosis and high mortality rate.
- A case study highlights how VBD was discovered in a patient experiencing altered mental status, with brain imaging revealing severe hydrocephalus due to third ventricle compression.
- Despite surgical attempts to manage the condition, including placing an external ventricular shunt, the patient unfortunately died, underlining the challenges in treating VBD.
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