Vertebrobasilar dolichoectasia treatment. Key words: vertebrobasilar dolichoectasia, non-saccular intracranial aneurysm, ischemic stroke, basilar artery occlusion, subarachnoid hemorrhage. Associations Mar 1, 2022 · Healthcare providers often treat vertebrobasilar insufficiency with lifestyle changes and medications. Hemorrhagic complications are less common. Recent advances in endovascular treatment Vertebrobasilar dolichoectasia is uncommon progressive disease characterised by dilated, elongated, tortuous vertebrobasilar artery and diagnosed on CT angiography or MR angiography. Jun 12, 2019 · The treatment of VBD via endovascular reconstruction using stent-assisted coiling (SAC) or sole stents in the vascular lumen is technically feasible, and is relatively safe compared with the poor natural disease course of VBD (7). Though the prevalence of VBD has been estimated to be in the range of 0. Methods We retrospectively reviewed 19 consecutive patients with VBD treated with large woven intracranial stent (Leo stents) between January 2016 and December 2018. The prevalence of VBD is variable Objectives To characterize the safety and efficacy of large woven stents in the treatment of vertebrobasilar dolichoectasia (VBD). Data Synthesis and Quality Assessment The primary outcomes of interest were patient charac-teristics, treatment protocols, clinical outcomes, and com-plications of patients who underwent open cerebrovascular Apr 20, 2018 · Vertebrobasilar dolichoectasia (VBD) is a rare disease characterized by expansion, elongation, and tortuosity of the vertebrobasilar arteries []. most commonly affected is the vertebrobasilar artery, see: vertebrobasilar dolichoectasia (VDBE) internal carotid artery (ICA) is also at high risk to be affected. Patients with vertebrobasilar dolichoectasia are at high risk of ischemic stroke, brainstem compression, and death. Jan 10, 2011 · Dolichoectasia is a condition that causes dilatation and/or tortuosity of both intracranial and extracranial arteries. The tumor necrosis factor α signaling cascade is implicated in DVBA growth and rupture, but the role of anti–tumor necrosis factor α therapy in DVBA has not been studied. Aug 13, 2024 · Similarly, hypercholesterolemia or hyperlipidemia can also provide sufficient trauma to the vessel wall resulting in dolichoectasia. Results The patients were Oct 14, 2019 · Vertebrobasilar dolichoectasia, or intracranial arterial dolichoectasia, is an uncommon neurovascular disorder characterized by elongation and enlargement of the vertebrobasilar arteries (1–3). We performed a systematic review of the literature on clinical course and treatment of Neurosurgeons need to keep in mind vertebrobasilar dolichoectasia as a rare cause of obstructive hydrocephalus for accurate diagnosis and swift treatment. 2–4. This well-established vascular anomaly has been associated with subsequent strokes, microembolization, brainstem, and cranial nerve compression ( 3 Nov 1, 2019 · Background: Vertebrobasilar artery dolichoectasia may result in neural element compression anywhere along its course within the cervical region, the craniocervical junction or in the posterior fossa. . Pathology Aug 13, 2024 · Similarly, hypercholesterolemia or hyperlipidemia can also provide sufficient trauma to the vessel wall resulting in dolichoectasia. 6–17. Mar 1, 2013 · BACKGROUND AND PURPOSE: VBD can trigger various clinical symptoms, especially ischemic stroke in the posterior circulation, but there is no effective treatment for their prevention. Enrolled patients were followed Jul 5, 2022 · Vertebrobasilar dolichoectasia (VBD) is characterized by significant expansion, elongation, and tortuosity of the basilar artery and vertebral artery. MATERIALS AND Feb 23, 2012 · Compared with the posterior circulation, dolichoectasia involves the arteries in the anterior circulation at a lower frequency 9,13; involvement of both the vertebrobasilar and carotid systems is rare. 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. Vertebrobasilar dolichoectasia is a well-described phenomenon thought to be associated with hypertension and resultant vascular wall damage. 1 Introduction Vertebrobasilar dolichoectasia (VBD) is a condition characterized by marked elongation, dilatation, and tortuosity of the vertebral and basilar arteries. Progressive enlargement of arterial size is a predictor of mortality, but there are no specific treatments for arresting or slowing down dilatation. Jul 4, 2022 · Vertebrobasilar dolichoectasia (VBD) is characterized by significant expansion, elongation, and tortuosity of the basilar artery and vertebral artery. Risk of bias in the included studies was too high to make any recommendation regarding treatment. The vertebrobasilar arteries supply the cerebellum, medulla, midbrain, and occipital cortex. Introduction. 1% for stroke patients [], reliable population-based data are lacking. Are there different types of vertebrobasilar insufficiency? Transient vertebrobasilar insufficiency is a rare form of VBI caused by turning or rotating your head. Additionally, dilated brain arteries can cause flow stagnation, which can trigger thrombosis and cause stroke. Jul 17, 2019 · Background Patients with vertebrobasilar dolichoectasia usually have persistent hemodynamic abnormalities, and therefore, may bear an increased risk of stroke. Intracranial dolichoectasia can be asymptomatic or manifest with compressive Mar 1, 2013 · Vertebrobasilar dolichoectasia is a rare condition with unsettled clinical course and treatment. tion, vertebrobasilar dolichoectasia characteristics, treat-ment protocol, treatment outcomes, and complications. We performed a systematic review of the literature on clinical course and treatment of vertebrobasilar dolichoectasia. From 2010 until 2020, the data of 30 patients with 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. The clinical syndromes most often observed include cranial neuropathy, bulbar dysfunction, myelopathy and cervical radiculopathy. This study aimed to identify risk factors for stroke recurrence in patients with vertebrobasilar dolichoectasia. 4% for the general population and 2. Dec 8, 2023 · Dolichoectatic vertebrobasilar aneurysms (DVBAs) carry high morbidity, and treatment options are limited. OBJECTIVES: Vertebrobasilar dolichoectasia is a rare condition with unsettled clinical course and treatment. We aimed to validate the feasibility of coil-assisted stent reconstruction in the vascular lumen for the treatment of VBD and to evaluate its long-term effectiveness in preventing ischemic events. The prevalence of VBD is variable Mar 7, 2023 · Vertebrobasilar dolichoectasia is also known as dilatative arteriopathy, mega-dolichoectasia, and fusiform aneurysm of the vertebral and basilar arteries. 14 In our series, 4 patients with asymptomatic dolichoectasia in the anterior circulation were followed up after endovascular reconstruction of 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. Methods: We systematically searched PUBMED, EMBASE, and the Cochrane Library and hand searched citations for studies on vertebrobasilar dolichoectasia with an average follow-up duration of at least 1 year and fulfilling 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. Nov 12, 2013 · We performed a systematic review of the literature on clinical course and treatment of vertebrobasilar dolichoectasia. The objectives of this study are to investigate the characteristics of patients with TN due to VBD and to analyze the efficacy of microvascular decompression (MVD) by the interposition method for treatment of the condition. 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 Feb 7, 2024 · Both low-profile braided stents and flow diverters have similar high risks in reconstructive techniques in the treatment of vertebrobasilar dolichoectasia aneurysms, while a flow diverter is more effective in promoting complete occlusion of vertebrobasilar dolichoectasia aneurysm than a low-profile … Apr 7, 2022 · Trigeminal neuralgia (TN) due to vertebrobasilar dolichoectasia (VBD) is a rare disease that can be challenging to treat. Patients may present with symptoms related to vascular events or compression of brainstem/cranial nerves by ectatic tortuous vessel. The clinical symptoms and angiograms of all the patients were recorded. It is a condition characterized by dilation, elongation, and tortuosity of the vertebrobasilar arteries. Recent advances in endovascular treatment (EVT) have renewed hope for patients with VBD. 1 Some patients are asymptomatic, whereas others may have symptomatic brain stem compression, hydrocephalus, posterior circulation ischemia, or lethal hemorrhage. 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. The best management of VBD is controlling arterial hypertension and following up with image studies regularly to detect the early extension of VBD degree. 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. Certain highly selected cases of VBD can require intervention. Location. Associations Objectives: Vertebrobasilar dolichoectasia (VBD), an elongation and distension of vertebrobasilar artery, may present with cranial nerve symptoms due to nerve root compression. You may need surgery if you continue having symptoms despite these interventions. Apr 22, 2022 · Introduction: Dolichoectasia is a form of brain large artery disease associated with a high risk of mortality and morbidity. Apr 20, 2022 · Introduction Dolichoectasia is a form of brain large artery disease associated with a high risk of mortality and morbidity. Because Objective: The aim of this study was to describe the efficacy, clinical outcomes, and complications of open cerebrovascular surgery, endovascular surgery, and conservative management of dolichoectatic vertebrobasilar aneurysms (DVBAs). gqnazjuixqgzqvxcxyuajhsumfpwixqsynavjpoftqrhm