Basilar dolichoectasia with otorhinolaryngological symptoms: A case report

Authors

  • Tuani A. Stroke Posgraduate studies in Otorhinolaryngology, Specialized Service in Otorhinolaaryngological Prevention and Treatment (SEPTO). Pontifical Catholic University of Rio de Janeiro, RJ, Brazil. https://orcid.org/0000-0001-8421-8557
  • Ana Cristina C. Martins Posgraduate studies in Otorhinolaryngology, Specialized Service in Otorhinolaaryngological Prevention and Treatment (SEPTO). Pontifical Catholic University of Rio de Janeiro, RJ, Brazil. Otorhinolaryngology Departament. Oswaldo Cruz Foundation (Fiocruz), Rio de Janeiro, RJ, Brazil.
  • Lucas A. L. T. Silva Posgraduate studies in Otorhinolaryngology, Specialized Service in Otorhinolaaryngological Prevention and Treatment (SEPTO). Pontifical Catholic University of Rio de Janeiro, RJ, Brazil.
  • Henrique José C. Artigoza Posgraduate studies in Otorhinolaryngology, Specialized Service in Otorhinolaaryngological Prevention and Treatment (SEPTO). Pontifical Catholic University of Rio de Janeiro, RJ, Brazil.
  • Annelise O. A. B. Figueira Posgraduate studies in Otorhinolaryngology, Specialized Service in Otorhinolaaryngological Prevention and Treatment (SEPTO). Pontifical Catholic University of Rio de Janeiro, RJ, Brazil.
  • Fernando José M. Mendes Posgraduate studies in Otorhinolaryngology, Specialized Service in Otorhinolaaryngological Prevention and Treatment (SEPTO). Pontifical Catholic University of Rio de Janeiro, RJ, Brazil.
  • Rafael Hollanda Radiology Departament. Casa de Portugal Hospital, Rio de Janeiro, RJ, Brasil.

DOI:

https://doi.org/10.12957/bjhbs.2020.59719

Keywords:

Stroke, Basilar dolicoectasis, Basilar megadolism, Hearing loss, Peripheral facial paralysis, Dizziness.

Abstract

Introduction: Basilar dolicoectasis is an uncommon change,
which makes the vessel tortuous and dilated, which can lead
to ischemic, hemorrhagic or compressive changes. Objective:
The present study is case report of a patient with basilar artery
dolicoectasis and otorhinolaryngological symptoms. Clinical
Case: Patient, 53 years old, male, smoker, hypertensive, atrial
fibrillation and gout, who after hospitalization due to stroke
suffered a complaint of hearing loss, facial paralysis and dizziness.
During hospitalization, he was diagnosed with basilar
artery dolichoectasia. Conclusion: Basilar artery dolichoectasia
is rare, the otorhinolaryngologist should be aware of vascular
causes when evaluating a patient with otoneurological symptoms.
The treatment of basilar artery dolichoectasis remains
controversial.

References

Najafi MR, Toghianifar N, Esfahani MA, et al. Dolichoectasia

in Vertebrobasilar Arteries Presented as Transient Ischemic

Attacks: A Case Report. ARYA Atheroslcer (Isfahan). 2016;

(1):55–58.

Melo AA. Dolicomega da artéria vértebro-basilar como causa

de perda auditiva neurossensorial assimétrica: relato de caso.

Braz J Otorhinolayngol. (São Paulo).2011;15(3):385-387.

Mohammed K, Iqbal J, Kamel H, et al. Obstructive hydrocephalus

and facial nerve palsy secondary to vertebrobasilar dolichoectasia:

Case Report. Surg. Neurol. Int. (Doha). 2018;9:60.

Alabri H, Lewis WD, Manjila S, et al. Acute Bilateral Ophthalmoplegia

Due to Vertebrobasilar Dolichoectasia: A Report of Two

Cases. Am. J. Case Rep. 2017;18:1302-1308.

Ortak H, Tas U, Aksoy DB, et al. Isolated Upgaze Palsy in a Patient

with Vertebrobasilar Artery Dolichoectasia: a Case Report.

J Ophthalmic Vis Res (Totak). 2014;9(1):109–112.

Tuzcu EA, Bayarogullari H, Coskun M, et al. Bilateral Abducens

Paralysis Secondary to Compression of Abducens Nerve

Roots by Vertebrobasilar Dolichoectasia. Neuroophthalmology

(Hatay). 2013;37(6):254–256.

Yuan Y, Xu K, Luo Q, et al. Research Progress on Vertebrobasilar

Dolichoectasia. Int J Med Sci (Changchun).

;11(10):1039–1048.

Wang F, Hu XY, Wang T. Clinical and imaging features of vertebrobasilar

dolichoectasia combined with posterior circulation

infarction: A retrospective case series study. Medicine (Baltimore).

;97(48):e13166.

Jannetta PJ, Moller MB, Moller AR. Disabling Positional Vertigo.

N Engl J Med (Pittsburgh). 1984;310:1700–1705.

Pham T, Wesolowski J, Trobe JD. Sixth cranial nerve palsy and

ipsilateral trigeminal neuralgia caused by vertebrobasilar dolichoectasia.

Am J Ophthalmol Case Rep (Michigan). 2018;10:229–

Zemlin WR. Princípios de anatomia e fisiologia em fonoaudiolo

gia. Artes Médicas (Porto Alegre).2000;4(5):338-44.

Hain TC, Ramaswamy TS, Hillman MA. Anatomia e fisiologia

do sistema vestibular normal. In: HERDMAN, S.J. Reabilitação

vestibular. Manole (São Paulo). 2002;1(1):3-23.

Lopes-Escamez JA, Carey J, Chung W, et al. Diagnostic criteria

for Menière disease. J Vestib Res. (Granada). 2015;25:1-7.

Han J, Wang T, Xie Y, et al. Successive occurrence of vertebrobasilar

dolichectasia induced trigeminal neuralgia, vestibular

paroxysmia and hemifacial spasm: A case report. Medicine

(Baltimore). 2018;97(25):e11192.

Yuan F, Lin J, Ding L, et al. Hemifacial spasm and recurrent

stroke due to vertebrobasilar dolichoectasia coexisting with

saccular aneurysm of the basilar artery: a case report. Turk

Neurosurg. (Cheng Du). 2013;23(2):282-284.

Del Brutto VJ, Ortiz JG, Biller J. Intracranial Arterial Dolichoectasia.

Front Neurol. (Chicago). 2017;8:344.

Downloads

Published

2021-05-07

How to Cite

Stroke, T. A., Martins, A. C. C., Silva, L. A. L. T., Artigoza, H. J. C., Figueira, A. O. A. B., Mendes, F. J. M., & Hollanda, R. (2021). Basilar dolichoectasia with otorhinolaryngological symptoms: A case report. Brazilian Journal of Health and Biomedical Sciences, 19(2), 151–155. https://doi.org/10.12957/bjhbs.2020.59719

Issue

Vol. 19 No. 2 (2020)

Section

Clinical Cases

License

After the final approval, authors must send the copyright transfer agreement signed by the first author representing each additional author. In this agreement must be stated any conflicts of interest.

Brazilian Journal of Health and Biomedical Sciences de http://bjhbs.hupe.uerj.br/ is licensed under a License Creative Commons - Attribution-NonCommercial 4.0 International.   Licença Creative Commons