Vertebrobasilar dolichoectasia prognosis

Vertebrobasilar dolichoectasia prognosis. Rev Neurol (Paris) (1991) 147(11):714–22. Ischemic stroke is the primary clinical manifestation of vertebrobasilar dolichoectasia and there is a high risk of recurrence of ischemic stroke in patients with large basilar artery diameter or diffuse intracranial dolichoectasia. 4% in the general population ( 1 , 2 ). We performed a systematic review of the literature on clinical course and treatment of Dec 16, 2021 · the vertebrobasilar arteries are most commonly affected (also known as vertebrobasilar dolichoectasia or megadolichobasilar artery) (pseudo)aneurysm, on the other hand, is characterized by a focal dilation, creating a weakened area prone to rupture; incidence 0. In the included studies, treatment specifications were often not available for individual patients. It is usually associated with other aneurysms and has a greater growth rate than vertebrobasilar DE which is important for work-up, management, and follow-up. most commonly affected is the vertebrobasilar artery, see: vertebrobasilar dolichoectasia (VDBE) internal carotid artery (ICA) is also at high risk to be affected. The vertebrobasilar arteries supply the cerebellum, medulla, midbrain, and occipital cortex. This case report highlights the value of using clear and objective criteria for the diagnosis of diffuse DE as it carries a worse prognosis than isolated vertebrobasilar DE. Here we systematically review VBD incidence, etiology, characteristics, clinical manifestations, treatment strategies, and prognosis. Apr 20, 2022 · Introduction Dolichoectasia is a form of brain large artery disease associated with a high risk of mortality and morbidity. Abstract Objectives: Vertebrobasilar dolichoectasia is a rare condition with unsettled clinical course and treatment. Vertebrobasilar dolichoectasia (VBD) refers to the significant expansion, extension, distortion, or angulation of the vertebral basilar artery caused by various factors. Alternative treatments, such as blood pressure reduction therapy, surgery, or endovascular procedures, may be considered in cases of BA enlargement (BA diameter ≥ 10 mm) [9]. However, multiple cranial nerve symptoms associated with VBD in one case remain extremely rare. [1] Mar 15, 2011 · Dolichoectasia is a dilatation and elongation of the arteries, usually affecting intracranial basilar and vertebral arteries. We here present the case of a 33-year-old male with VBD diagnosed by multimodality Aug 2, 2014 · Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. The diagnosis is made radiologically with CT angiography in most cases, but magnetic resonance angiography has been described in some [ 4 ]. Associations Jul 4, 2022 · Introduction. 3 Predictors of Aug 13, 2024 · Similarly, hypercholesterolemia or hyperlipidemia can also provide sufficient trauma to the vessel wall resulting in dolichoectasia. You may need surgery if you continue having symptoms despite these interventions. Diffuse intracranial dolichoectasia (anterior and posterior) is extremely scarce and considered to represent a distinct vascular phenotype from isolated vertebrobasilar dolichoectasia . The 5 year prognosis is more favorable in patients who are asymptomatic at time of diagnosis. Arterial hypertension was noted in 20 cases and associated aortic ectasia in 4. The disease origin is believed to involve degeneration of the internal elastic lamina, thinning of the media secondary to reticular fiber deficiency, and smooth muscle atrophy. 1,2 The basilar artery is the most commonly affected of the intracranial arteries: in 1 study, the basilar artery was dolichoectatic in 78% of cases. The prevalence of dolichoectasia increases with age, and this disease is also associated with Mar 1, 2022 · Healthcare providers often treat vertebrobasilar insufficiency with lifestyle changes and medications. Aug 3, 2006 · Intracranial dilatative arteriopathy (ie, dolichoectasia) is identified in 12% of patients with brain infarction. Diagnostic criteria and prognosis studies of IADE are based on basilar artery diameter, which is a good quantitative marker for the severity of the disease. 3–4. Progressive enlargement of arterial size is a predictor of mortality, but there are no specific treatments for arresting or slowing down dilatation. Aug 13, 2024 · Similarly, hypercholesterolemia or hyperlipidemia can also provide sufficient trauma to the vessel wall resulting in dolichoectasia. The prevalence of VBD is variable Jul 17, 2019 · Background Patients with vertebrobasilar dolichoectasia usually have persistent hemodynamic abnormalities, and therefore, may bear an increased risk of stroke. Location. Jan 1, 2008 · The long-term prognosis of patients with vertebrobasilar dolichoectasia (VBD) depended mainly on the severity of the condition at diagnosis and on its evolutionary characteristics. 1 Autopsy studies have shown that one third of patients with dolichoectasia have an abdominal aortic aneurysm (AAA). No randomized intervention trials were identified. Additionally, dilated brain arteries can cause flow stagnation, which can trigger thrombosis and cause stroke. Are there different types of vertebrobasilar insufficiency? Transient vertebrobasilar insufficiency is a rare form of VBI caused by turning or rotating your head. Progression of VBD exposed patients to high risk of adverse events, especially stroke. Complications and prognosis. Jul 5, 2022 · Keywords: vertebrobasilar dolichoectasia, endovascular treatment, aneurysm, prognosis, complication Introduction Vertebrobasilar dolichoectasia (VBD) is uncommon, with a prevalence ranging from 7. 4% in the general population (1, 2). Because Mar 1, 2013 · Vertebrobasilar dolichoectasia is a rare condition with unsettled clinical course and treatment. Associations Jan 10, 2011 · Dolichoectasia is an arterial disease that causes dilatation and/or tortuosity of the affected vessel. Google Scholar. Compression of cranial nerves or brainstem leads to hemifacial spasm, trigeminal neuralgia, or brainstem dysfunction (temporary or permanent). When the blood supply to these areas is compromised, it can lead to severe disability and/or death. Methods Patients with acute ischemic stroke were screened and evaluated for eligibility. The incidence of the disease is low, and most patients have no clinical symptoms, but the mortality and disability rate of symptomatic patients of this disease are high. Pathology Symptomatic dolichoectasia of the vertebrobasilar system was found in 23 patients (16 males and 7 females, mean age: 62 years) during a 13-year period. The malformation was identified in all patients on CT completed by a … Up to 12% of patients with stroke have intracranial arterial dolichoectasia (IADE) and the basilar artery is affected in 80% of these cases. 8% in patients with stroke and 1. 6 to 18. We would like to show you a description here but the site won’t allow us. 06-6% [Brutto, 2021] Jul 5, 2022 · Keywords: vertebrobasilar dolichoectasia, endovascular treatment, aneurysm, prognosis, complication INTRODUCTION Vertebrobasilar dolichoectasia (VBD) is uncommon, with a prevalence ranging from 7. It is characterized by Jun 17, 2016 · Vertebrobasilar dolichoectasia (VBD) is characterized by ectasia, elongation, and tortuosity of the vertebrobasilar arteries, with a high degree of variability in clinical presentation. Prognosis of dolichoectasia in non-cardioembolic transient ischemic attack and minor stroke. 5,11,12 The first patient had an initial presentation of VDE with fluctuated brainstem symptoms for one year, which may have been caused by brainstem compression of vertebrobasilar Apr 20, 2018 · BA dolichoectasia rupture risk has been shown to be associated with an initial artery diameter larger than 10 mm [9]. Enrolled patients were followed Aug 20, 2020 · Vertebrobasilar dolichoectasia (VBD) can lead to cranial nerve symptoms. The pathophysiology is largely unknown, but IADE can be viewed as a common final pathway of Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. Aug 2, 2014 · Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by significant expansion, elongation, and tortuosity of the vertebrobasilar arteries. Milandre L, Bonnefoi B, Pestre P, Pellissier JF, Grisoli F, Khalil R. Vertebrobasilar dolichoectasia (VBD) is uncommon, with a prevalence ranging from 7. We performed a systematic review of the literature on clinical Jul 17, 2023 · Vertebrobasilar insufficiency (VBI) is defined by inadequate blood flow through the posterior circulation of the brain, supplied by the 2 vertebral arteries that merge to form the basilar artery. Many studies which compare intracranial dolichoectasia to atherosclerosis and aneurysm also demonstrate different prevalence and prognosis regarding stroke. 34. Current data regarding VBD are very limited. Intracranial Mar 1, 2013 · Patients with vertebrobasilar dolichoectasia are at high risk of ischemic stroke, brainstem compression, and death, and the 5 year prognosis is more favorable in patients who are asymptomatic at time of diagnosis. This study aimed to identify risk factors for stroke recurrence in patients with vertebrobasilar dolichoectasia. It may cause posterior circulation stroke or transient ischemic attacks independent of atherosclerotic disease. Vertebrobasilar arterial dolichoectasia. biib rdwgg lzk sfv vjs xwhn xwlr eemmyy egqvq husfj