Abstract
Vertebrobasilar dolichoectasia (VBD) is an uncommon disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. The exact incidence rate of VBD remains unclear, it is estimated to be 0.05–0.6% of the population. The occurrence of VBD is thought to be due to the interactions of multiple factors, including congenital factors, infections and immune status, and degenerative diseases. The VBD clinical manifestations are complex which exhibits ischemic stroke predominantly, followed by progressive compression of cranial nerves and the brain stem, cerebral hemorrhage, and hydrocephalus. Treatment of VBD itself remains difficult. Currently, there are no precise and effective treatments, and available managements mainly target the complications of VBD. With the development of endovascular interventional technology, it may become an effective treatment for VBD.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Vanaclocha V, Herrera JM, Martinez-Gomez D, Rivera-Paz M, Calabuig-Bayo C, Vanaclocha L. Is there a safe and effective way to treat trigeminal neuralgia associated with vertebrobasilar dolichoectasia? Presentation of 8 cases and literature review. World Neurosurg. 2016;96:516–29.
Yuan YJ, Xu K, Luo Q, Yu JL. Research progress on vertebrobasilar dolichoectasia. Int J Med Sci. 2014;11(10):1039–48.
Ikeda K, Nakamura Y, Hirayama T, Sekine T, Nagata R, Kano O, Kawabe K, Kiyozuka T, Tamura M, Iwasaki Y. Cardiovascular risk and neuroradiological profiles in asymptomatic vertebrobasilar dolichoectasia. Cerebrovasc Dis. 2010;30(1):23–8.
Samim M, Goldstein A, Schindler J, Johnson MH. Multimodality imaging of vertebrobasilar dolichoectasia: clinical presentations and imaging spectrum. Radiographics. 2016;36(4):1129–46.
Prasad SN, Singh V, Selvamurugan V, Phadke RV. Vertebrobasilar dolichoectasia with typical radiological features. BMJ Case Rep. 2021;14(2):e239866.
Umana GE, Alberio N, Graziano F, Fricia M, Tomasi SO, Corbino L, Nicoletti GF, Cicero S, Scalia G. Vertebrobasilar dolichoectasia, hypoplastic third ventricle, and related biventricular hydrocephalus: case report and review of the literature. J Neurol Surg A Cent Eur Neurosurg. 2023;84(2):206–11.
Smoker WR, Price MJ, Keyes WD, Corbett JJ, Gentry LR. High-resolution computed tomography of the basilar artery: 1. Normal size and position. AJNR Am J Neuroradiol. 1986;7(1):55–60.
Ubogu EE, Zaidat OO. Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death: a cohort study. J Neurol Neurosurg Psychiatry. 2004;75(1):22–6.
Zhao Z, Chai S, Wang J, Jiang X, Nie C, Zhao H. Comparison of microvascular decompression and two Isocenters gamma knife for the treatment of trigeminal neuralgia caused by vertebrobasilar dolichoectasia. Front Neurol. 2021;12:707985.
Liu J, Chen Z, Feng T, Jiang B, Yuan Y, Yu Y. Biomedical glue sling technique in microvascular decompression for trigeminal neuralgia caused by atherosclerotic vertebrobasilar artery: a description of operative technique and clinical outcomes. World Neurosurg. 2019;128:e74–80.
Tan LA, Moftakhar R, Lopes DK. Treatment of a ruptured vertebrobasilar fusiform aneurysm using pipeline embolization device. J Cerebrovasc Endovasc Neurosurg. 2013;15(1):30–3.
Wu X, Xu Y, Hong B, Zhao WY, Huang QH, Liu JM. Endovascular reconstruction for treatment of vertebrobasilar dolichoectasia: long-term outcomes. AJNR Am J Neuroradiol. 2013;34(3):583–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Zuo, Y., Guo, F. (2023). Incidental Intracranial Arterial Dolichoectasia. In: Turgut, M., Guo, F., Turgut, A.T., Behari, S. (eds) Incidental Findings of the Nervous System. Springer, Cham. https://doi.org/10.1007/978-3-031-42595-0_10
Download citation
DOI: https://doi.org/10.1007/978-3-031-42595-0_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-42594-3
Online ISBN: 978-3-031-42595-0
eBook Packages: MedicineMedicine (R0)