Obstructive hydrocephalus and facial nerve palsy secondary to vertebrobasilar dolichoectasia: Case Report

BACKGROUND: Symptomatic hydrocephalus due to vertebrobasilar dolichoectasia is a rare occurrence. CASE DESCRIPTION: We report a patient who presented with acute confusion and vomiting. Neuroimaging revealed elongated and tortuous basilar artery indenting and elevating the floor of third ventricle ca...

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Detalles Bibliográficos
Autores principales: Mohammed, Kazim, Iqbal, Javeed, Kamel, Hussein, Mathew, John, Al-Sulaiti, Ghanem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Neurovascular: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5875110/
https://www.ncbi.nlm.nih.gov/pubmed/29629227
http://dx.doi.org/10.4103/sni.sni_37_17
Descripción
Sumario:BACKGROUND: Symptomatic hydrocephalus due to vertebrobasilar dolichoectasia is a rare occurrence. CASE DESCRIPTION: We report a patient who presented with acute confusion and vomiting. Neuroimaging revealed elongated and tortuous basilar artery indenting and elevating the floor of third ventricle causing obstructive hydrocephalus. Initially, the patient was treated with external ventricular drain and then with ventriculo-peritoneal shunt. CONCLUSION: We suggest prompt surgical intervention upon diagnosis as a first choice of treatment in order to avoid further complications.

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