Background: Dolichoectatic basilar trunk aneurysms are exceedingly rare and carry a poor prognosis. Treatment strategies are often reserved for patients with severe and progressive symptoms.
Case Description: A patient in their 40s with a dolichoectatic basilar trunk aneurysm developed significant progression of the lesion and neurologic decline, necessitating treatment. He underwent flow diversion utilizing multiple telescoping Pipeline Vantage Embolization Devices with Shield Technology for treatment. At 1-year follow-up, the aneurysm was stable in size and the patient remained at his neurologic baseline.
Conclusion: This case illustrates the need for continued development of next-generation endovascular devices as these aneurysms have limited management options.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610930 | PMC |
http://dx.doi.org/10.25259/SNI_701_2022 | DOI Listing |
J Clin Neurosci
January 2025
Department of Neurovascular Research, Kobe City Medical Center General Hospital, 2-1-1 Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan; Department of Neurosurgery, Seijinkai Shimizu Hospital, 11-2 Yamadanakayoshimicho, Nishikyo-ku, Kyoto, Japan.
Background: Past studies have reported that vertebrobasilar dolichoectasia (VBD) patients may develop similar arteriopathies other than the vertebrobasilar system. However, the details of these VBD-related arteriopathies are still unclear.
Methods: We retrospectively enrolled patients diagnosed with VBD at two stroke centers in Japan between January 2012 and December 2023.
Neurologist
December 2024
Department of Neurology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
World Neurosurg
December 2024
Department of Neurological Surgery, Hospital Padilla, Tucumán, Argentina.
Trigeminal neuralgia is usually associated with vascular compression of the nerve entry zone. However, a dolichoectatic basilar artery represents the cause in only up to 3% of cases. This is characterized by dilation, elongation, or tortuosity of the vertebrobasilar arteries.
View Article and Find Full Text PDFJ Neurol Surg Rep
July 2024
Department of Neurosurgery, University Hospital Sofiamed, Sofia, Bulgaria.
Trigeminal neuralgia (TN), characterized by recurrent episodes of intense facial pain, poses diagnostic and therapeutic challenges. TN can be triggered by many factors, with rare cases (< 0.05% of the general population) associated with vertebrobasilar dolichoectasia (VBD).
View Article and Find Full Text PDFMayo Clin Proc
January 2024
Department of Radiology, Mayo Clinic, Rochester, MN.
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