The symptomatology of megadolicho basilar artery

Herpers, Matthias; Lodder, J.; Janevski, Blagoja K.; Lugt, P.J.M. van der

doi:10.1016/0303-8467(83)90070-7

Cited by 24 publications

(9 citation statements)

References 26 publications

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“…Reported manifestations include cerebellar dysfunction, ischemic stroke, trigeminal neuralgia, and brainstem compression syndrome. Multiple pathophysiological processes might contribute to the development of such arterial ectasia vessels such as systemic arterial hypertension associated with atherosclerosis, what might have occurred in our patient 1,2,3,4 . …”

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confidence: 74%

An indolent headache revealing a megadolicho-diffuse vascular malformation

Cruzeiro

Resende

Franco

et al. 2014

Arq. Neuro-Psiquiatr.

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A 61-year-old hypertensive man sought neurologic consultation due to a 20-year history of a right-sided dull headache of a low frequency, mild intensity, and without additional features. Headache responded to common analgesics and was not bothersome until his brother was diagnosed with cerebral aneurysm. He then pursued a brain vascular neuroimaging study. His brain magnetic resonance angiography revealed megadolicho-vascular malformation of the intracranial part of the internal carotid arteries and some of its branches and of the basilar artery ( Figure). Megadolicho-diffuse vascular malformation, involving both anterior and posterior circulations, is exceedingly rare and there are only a handful of published cases. Most cases are asymptomatic. When symptoms are present, they can be divided into ischemic, hemorrhagic, and mass effect. Reported manifestations include cerebellar dysfunction, ischemic stroke, trigeminal neuralgia, and brainstem compression syndrome.

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confidence: 74%

An indolent headache revealing a megadolicho-diffuse vascular malformation

Cruzeiro

Resende

Franco

et al. 2014

Arq. Neuro-Psiquiatr.

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“…The first was attributed to a dolichoectatic left vertebral artery compressing the ventral medulla [6] and the other was caused by a megadolicho malformation of the basilar artery [7] . A megadolicho basilar artery can also cause cranial nerve and brainstem dysfunction or signs suggesting a posterior fossa space-occupying lesion [8] .…”

Section: Discussionmentioning

confidence: 99%

Interpeduncular Basilar Aneurysm Causing Progressive Locked-In Syndrome: To Coil or Not to Coil

Khan

Beaujon

Ross³

2008

Eur Neurol

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“… 26 These aneurysms give symptoms which include cranial nerve deficits and hydrocephalus or brainstem dysfunction due to mass effect in their early stage. 27–29 A substantial number grow to a giant size due to recurrent hemorrhage between the aneurysm wall and older thrombus and finally rupture ( Fig. 7a).…”

Section: Pathological Basis For the Genesis Of Arterial Trunk Aneurysmsmentioning

confidence: 99%

Clinicopathological features of non‐atherosclerotic cerebral arterial trunk aneurysms

Mizutani

Kojima

2000

Neuropathology

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Internal elastic lamina (IEL) is the most vital structure of the cerebral arterial wall. Longstanding weakness of the IEL due to hemodynamic stress is compensated by adaptive intimal thickening. Formation of cerebral arterial trunk aneurysm is assumed to be the result of a break in the equilibrium between hemodynamic stress and the condition of the IEL and intima. Cerebral arterial trunk aneurysms unrelated to the branching zones have several lesional patterns of IEL and the state of intima. There is a strong relationship between the pathological features of aneurysms and their clinical courses. We attempt to delineate the concept of cerebral arterial trunk aneurysms including 'dissecting aneurysms' and 'fusiform aneurysms'.

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The symptomatology of megadolicho basilar artery

Cited by 24 publications

References 26 publications

An indolent headache revealing a megadolicho-diffuse vascular malformation

An indolent headache revealing a megadolicho-diffuse vascular malformation

Interpeduncular Basilar Aneurysm Causing Progressive Locked-In Syndrome: To Coil or Not to Coil

Clinicopathological features of non‐atherosclerotic cerebral arterial trunk aneurysms

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