Case series reports different manifestations of vertebrobasilar dolichoectasia, suggesting individualized treatment strategies for vascular anomalies.
Vertebrobasilar dolichoectasia (VBD) is a vascular anomaly marked by abnormal elongation and dilation of the vertebral and basilar arteries. Often, VBD remains undiagnosed or is discovered incidentally during evaluations of vascular events such as ischemia, hemorrhage, hydrocephalus, or cranial nerve palsies. While most patients are managed conservatively, treatment choices are highly individualized based on clinical presentation, vessel characteristics, and risk factors. We report two cases of VBD identified incidentally following an ischemic stroke and hemifacial spasms. Although the cases share a similar underlying pathology, they exhibit entirely different manifestations, resulting in varied management strategies.
No takes yet. Share an insight, caveat, or question.
Kaur et al. (2025) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: