Abstract
A 67-year-old man presented four recurrent, alternating facial palsies, two right abducens palsies and eventually a right extrinsic third nerve palsy due to brain-stem infarction in a 37-year time-span. Neuroradiological examinations showed hydrocephalus and an elongated, tortuous, estasic basilar artery. This patient presented in his lifetime the whole clinical spectrum of the dolichoectasic basilar artery complications.
Sommario
Viene descritto un paziente di 67 anni che, dai 30 anni, presentò 4 paralisi ricorrenti, alternanti del nervo facciale, 2 paralisi del nervo abducente destro ed infine una paralisi estrinseca del terzo nervo cranico di destra secondaria ad infarto mesencefalico. Gli esami neuroradiologici evidenziarono un'arteria basilare allungata, tortuosa, ectasica ed idrocefalo. Tale paziente ha presentato nella sua vita l'intero spettro clinico delle complicazioni legate alla megadolicobasilare.
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Uncini, A., Lugaresi, A., Porrini, A.M. et al. Recurrent cranial nerve palsies, midbrain infarction and hydrocephalus due to megadolichobasilar artery. Ital J Neuro Sci 11, 487–492 (1990). https://doi.org/10.1007/BF02336569
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DOI: https://doi.org/10.1007/BF02336569