Vertebrobasilar dolichoectasia radiology. org/10. most commonly affected is the vertebrobasilar artery, see: vertebrobasilar dolichoectasia (VDBE) internal carotid artery (ICA) is also at high risk to be affected. 7, Radiology 207, 103–111 (1998). 1148/rg. Dolichoectasia most frequently involves the vertebrobasilar arteries, and or basilar arteries. Classification Basilar artery diameter Vertebrobasilar dolichoectasia (VBD) is a distinct arteriopathy characterized by an increase in the diameter and length of the basilar artery (BA) and the vertebral artery (VA). Dolichoectatic We evaluated six patients with vertebrobasilar dolichoectasia (VBD) comparing clinical presentation with magnetic resonance (MR) and computed tomography (CT) imaging. 8% [ 1 ]. Methods We (1) compare CTA and TOF-MRA according Dolichoectasia can be considered when the vertebral artery is dilated, tortuous, and elongated, with a diameter more than 4. Feb 9, 2021 · Vertebrobasilar dolichoectasia is uncommon progressive disease characterised by dilated, elongated, tortuous vertebrobasilar artery and diagnosed on CT angiography or MR angiography. agree that when vertebrobasilar dolichoectasia has been demonstrated by computed tomography, additional angiography, if required at all, should be performed by digital subtraction techniques, Literally translated, vertebrobasilar dolichoectasia (VBD) means elongation (G. Are there different types of vertebrobasilar insufficiency? Transient vertebrobasilar insufficiency is a rare form of VBI caused by turning or rotating your head. 5 mm. The objectives of this study are to summarize vestibulocochlear manifestations in subjects with VBD through a case series and to discuss the needs of thorough oto-neurotologic dition, clinical manifestations, the role of radiology in diagnosis and VBD = vertebrobasilar dolichoectasia RadioGraphics 2016; 36:1129–1146 Published online 10. 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. Sep 17, 2019 · Vertebrobasilar dolichoectasia (VBD), an elongation and distension of vertebrobasilar artery, may present with cranial nerve symptoms due to nerve root compression. Dolichoectasia of the vertebrobasilar system, a finding of uncertain pathogenesis, is an elon-gation and dilatation of the major arteries of the posterior fossa. Patients with VBD rarely present with subarachnoid hemorrhage (SAH), and the predictors of blood vessel rupture are unknown . Patients may present with symptoms related to vascular events or compression of brainstem/ 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. We hypothesized that multivessel intracranial dolichoectasia may represent a distinct phenotype from single-territory vertebrobasilar dolichoectasia. org (Accessed on 01 Jun 2024) https://doi. Location. Jun 17, 2016 · The authors review the relevant anatomy and disease origin of VBD; pertinent imaging findings, including intraluminal thrombus and relation to the cranial nerves; and imaging pitfalls, such as the hyperintense vessel sign on MR images and artifacts related to slow flow in the dolichoectatic vessel. 3,4 Clinical expressions of VBD vary, including compression of cranial nerves or brainstem, obstructive hydrocephalus, and ischemia in vertebrobasilar arterial territory. Methods: We present four patients with dolichoectasia that exemplify therapeutic challenges worth discussing in the context of the current literature. 2016150032 Jan 15, 2010 · Dolichoectasia (dilatative arteriopathy) describes marked elongation, widening, and tortuosity of arteries. Two patients Jan 10, 2011 · Vertebrobasilar dolichoectasia: clinical–pathologic correlation and review. Nov 30, 2018 · This study aims to analyze the clinical and imaging features of vertebrobasilar dolichoectasia (VBD) combined with posterior circulation infarction, and to explore risk factors for the occurrence of posterior circulation infarction in VBD patients. 05% to 18% [1,2]. In this case, the patient presented with Mar 1, 2022 · Healthcare providers often treat vertebrobasilar insufficiency with lifestyle changes and medications. Learning points Vertebrobasilar dolichoectasia is uncommon progressive disease characterised by dilated, elongated, tortuous vertebrobasilar artery and diagnosed on CT angiography or MR angiography. Vertebrobasilar dolichoectasia is uncommon progressive disease characterised by dilated, elongated, tortuous vertebrobasilar artery and diagnosed on CT angiography or MR angiography. Aug 13, 2024 · Radiographic features. Vertebrobasilar dolichoectasia refers to ectatic and elongated vertebral or basilar arteries, it is usually associated with deterioration of the tunica intima, which causes abnormal vessel distention, atheromatosis and low blood flow velocity that may favor ischemic disease. Associations Previous reports indicate that the incidence of intracranial dolichoectasia ranges from 0. AJNR Am. Elongation is indicated by abnormal laterality or height, ectasia is indicated by abnormal diameter, and doliechoectasia is indicated by the presence of both elongation and ectasia 6. This condition can affect nearby structures, including the cranial nerves. Until today, the value of computed tomography (CT)/CT angiography (CTA) compared with magnetic resonance imaging (MRI)/time-of-flight MR angiography (TOF-MRA) has not been studied systematically. The disease origin is believed to involve degeneration of the internal elastic lamina, thinning of the media secon … 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. [4 39 ] In our case, we report a rare case of dolichoectasia of both anterior and posterior circulation associated with Jan 31, 2023 · Vertebrobasilar dolichoectasia (VBD) is defined as a marked dilation, extension, distortion, or angulation of the vertebrobasilar artery caused by various factors. Several population-based studies have shown that the prevalence rates of VBD range from 0. 5 mm 1. The exact frequency of VBD is unknown in the general population. 06 to 5. "ectasia") of the vertebrobasilar arteries. Case study, Radiopaedia. Case presentation Here, we report a case study of a male with progressive VBD who was Aug 13, 2024 · Radiographic features. The prevalence of VBD is variable Aug 13, 2024 · Similarly, hypercholesterolemia or hyperlipidemia can also provide sufficient trauma to the vessel wall resulting in dolichoectasia. Apr 22, 2022 · Therefore, therapeutic interventions aimed at slowing down arterial dilatation and preventing thrombosis could hypothetically play a role in treating patients with dolichoectasia. Vertebrobasilar dolichoectasia (VBD) is characterized by ectasia, elongation, and tortuosity of the vertebrobasilar arteries, with a high degree of variability in clinical presentation. 53347/rID-65712 May 1, 2017 · BACKGROUND AND PURPOSE: Among patients with vertebrobasilar dolichoectasia is a subset of patients with disease affecting the anterior circulation as well. Aug 26, 2024 · The application of Smoker’s criteria provides a means to diagnose dolichoectasia of the basilar artery 1,2. The intracranial vertebral and basilar arteries are preferentially involved. Oct 17, 2013 · Purpose Vertebrobasilar dolichoectasia (VBD) is a rare dilatative arteriopathy predominantly affecting the basilar artery (BA) and vertebral arteries. Its prevalence in patients with stroke ranges from 7. 6% to 18. 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. "dolichos") and distension (G. 8%, and mostly present in the people that are over 50 years old. While the anterior circulation may be affected as well, involvement of both the vertebrobasilar and carotid system is rare. Patients may present with symptoms related to vascular events or compression of brainstem/cranial nerves by ectatic tortuous vessel. There have been relatively few studies following the progression of VBD in patients presenting with a variety of diverse clinical features. To be classified as dolichoectasia, in the vertebrobasilar system, the basilar arterial diameter should be >4. Nikolaev P, Vertebrobasilar artery dolichoectasia. The purpose of this study was to characterize clinical characteristics and angiographic Apr 20, 2018 · Background Vertebrobasilar dolichoectasia (VBD) is a clinical entity associated with ischemic stroke, compression of cranial nerves or brainstem, and hydrocephalus. Vertebrobasilar dolichoectasia (VBD) is diagnosed when the vertebral artery is dilated and tortuous with intraluminal diameter more than 4. The most common event of VBD is ischemic vertebra- basilar dolichoectasia. MR proved especially useful in cases of VBD-associated . The artery may compress adjacent cranial nerve causing neuropathy as in this case where the artery compresses the left 5th cranial nerve results in facial numbenss. Neuroradiol. You may need surgery if you continue having symptoms despite these interventions. MR diagnosed the condition as well as CT in all cases, but proved superior to CT in delineating the anatomical relationship of the vessels to the neural structures. Smoker's criteria uses three quantitative measures of basilar artery morphology: basilar artery diameter, laterality, and height of bifurcation 9. CAS PubMed Google Scholar Jun 12, 2019 · Vertebrobasilar dolichoectasia (VBD) is characterized by dilatation, elongation, and tortuosity of the vertebrobasilar arteries, with the presenting symptoms resulting from ischemia or compression of the brainstem. 4 Vertebrobasilar dolichoectasia (VBD) refers to the significant expansion, extension, distortion, or angulation of the vertebral basilar artery caused by various factors. J. yvstlwtxpqhempjdyhidoykqhndonxqqkmlzynwgxotsnduusei