Basilar dolichoectasia with otorhinolaryngological symptoms: A case report
DOI:
https://doi.org/10.12957/bjhbs.2020.59719Keywords:
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.
Downloads
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
How to Cite
Issue
Section
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.