Dolichoectatic internal carotid artery presenting as a sellar-suprasellar mass with symptomatic hydrocephalus

Jagetia, Anita; Patel, Ketan; Sachdeva, Deepashu; Rathore, Lavlesh

doi:10.4103/neuroindia.ni_533_16

Cited by 3 publications

(2 citation statements)

References 1 publication

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“…[13] e previous reports showed that bilateral or unilateral VP shunt placement has been performed for the hydrocephalus with VBD. [1,3,6,9,10,15,16] However, even though ETV is more effective than shunt surgery for noncommunicating hydrocephalus because of fewer complications and lower mortality, there are no reports about ETV for hydrocephalus with VBD. [4,8] We experienced a case of noncommunicating hydrocephalus with VBD and performed ETV with a good long-term outcome.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic third ventriculostomy for noncommunicating hydrocephalus by vertebrobasilar dolichoectasia: A case report

Karasudani

Ito

Muroi

et al. 2022

Surgical Neurology International

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Background: Vertebrobasilar dolichoectasia (VBD) is a vasculopathy characterized by the elongation, widening, and tortuosity of a cerebral artery. Rarely, hydrocephalus results when the extended basilar artery impairs communication of the cerebral ventricle and cerebrospinal fluid dynamics. We experienced such a case when a patient underwent endoscopic third ventriculostomy (ETV) for noncommunicating hydrocephalus with VBD. Case Description: A 54-year-old man presented with cognitive dysfunction and was diagnosed with VBD by magnetic resonance imaging (MRI). Seven years later, he exhibited subacute impaired consciousness due to acute noncommunicating hydrocephalus, undergoing external ventricular drainage (EVD) that improved consciousness. After EVD removal, the noncommunicating hydrocephalus did not recur; however, 7 months later, subacute consciousness impairment due to noncommunicating hydrocephalus was again observed. MRI showed a significant dilation of both lateral ventricles and ballooning of the third ventricle while the right posterior cerebral artery shifted slightly posteriorly. The patient underwent ETV and clinical symptoms improved. One year after the treatment, MRI observed a patent ETV fenestration and no deleterious changes in clinical symptoms were observed. Conclusion: ETV can be an effective treatment for the noncommunicating hydrocephalus with VBD when performed with preoperative assessment of vascular anatomy and attention to vascular injury.

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Section: Discussionmentioning

confidence: 99%

Endoscopic third ventriculostomy for noncommunicating hydrocephalus by vertebrobasilar dolichoectasia: A case report

Karasudani

Ito

Muroi

et al. 2022

Surgical Neurology International

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“…[35] The posterior circulation dolichoectasia may manifest as ophthalmoplegia, hemifacial spasm, nystagmus, facial palsy, dizziness, tinnitus, hearing loss, dysarthria, trigeminal neuralgia, and diplopia. [36] The dolichoectasia of posterior and anterior circulation [37] may present with hydrocephalus. The mechanism may be from direct compression of the ventricle to water hammer effect from pulsation of the dolichoectatic artery.…”

Section: Clinical Coursementioning

confidence: 99%

A 5-year follow-up of intracranial arterial dolichoectasia: A case report and review of literature

et al. 2019

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A patient with multiple dolichoectasia of the intracranial cerebral artery was followed sequentially with clinical and radiological progression of disease in the past 5 years. The patient was treated in multiple stages in the past 5 years with the endovascular and microsurgical clipping method. The maximum diameter of each major intracranial artery segment was recorded and compared in the follow-up year. The progression in size of the dolichoectatic segment was observed in spite of surgical intervention. In review diagnostic criteria, etiopathogenesis and treatment options have been discussed.

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Sellar Pathologies Mimicking Pituitary Tumors

Karmarkar¹,

Deopujari²

2020

Neurol India

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Dolichoectatic internal carotid artery presenting as a sellar-suprasellar mass with symptomatic hydrocephalus

Cited by 3 publications

References 1 publication

Endoscopic third ventriculostomy for noncommunicating hydrocephalus by vertebrobasilar dolichoectasia: A case report

Endoscopic third ventriculostomy for noncommunicating hydrocephalus by vertebrobasilar dolichoectasia: A case report

A 5-year follow-up of intracranial arterial dolichoectasia: A case report and review of literature

Sellar Pathologies Mimicking Pituitary Tumors

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