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Chapter 8.3 - Dolichoectasia and Fusiform Aneurysms

from 8 - Other Non-inflammatory Vasculopathies

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
By
Jernej Avsenik  and
Bojana Žvan
Edited by
Derya Uluduz
Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
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Summary

The term dolichoectasia refers to generalized nonfocal vessel elongation and tortuosity and is a frequent manifestation of advanced atherosclerosis. It most commonly occurs in posterior circulation (vertebrobasilar dolichoectasia), followed by supraclinoid internal cerebral artery. Patients with vertebrobasilar fusiform aneurysms may present with symptoms related to mass effect, ischemia or hemorrhage. We present a 59 year old male presented to the neurological emergency department with acute vertigo, drowsiness, nausea and sudden worsening of bilateral hearing loss. He was diagnosed with vertebrobasilar fusiform aneurysm

Keywords

vertebrobasilar dolichoectasiafusiform aneurysmvertigostrokedrowsinessnauseahearing loss
Type
Chapter
Information
Rare Causes of Stroke
A Handbook
 , pp. 321 - 325
Publisher: Cambridge University Press
Print publication year: 2022

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References

Awad, AJ, Mascitelli, JR, Haroun, RR, et al. Endovascular management of fusiform aneurysms in the posterior circulation: The era of flow diversion. Neurosurg Focus. 2017;42(6): E14.CrossRefGoogle ScholarPubMed
Barletta, EA, Gaspar, RHML, Araújo, JFM, et al. Nonsaccular aneurysms: A wide comparison between the four main types. Surg Neurol Int. 2019;10: 30.CrossRefGoogle ScholarPubMed
Osborn, AG, Hedlund, GL, Salzman, KL. Osborn’s Brain: Imaging, Pathology, and Anatomy, 2nd Edn. Philadelphia, PA: Elsevier; 2017. 1300.Google Scholar
Serrone, JC, Gozal, YM, Grossman, AW, et al. Vertebrobasilar fusiform aneurysms. Neurosurg Clin N Am. 2014;25: 471–484.CrossRefGoogle ScholarPubMed

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