Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(04): 1302-1307
DOI: 10.4103/ajns.AJNS_282_18
Case Report

A 5-year follow-up of intracranial arterial dolichoectasia: A case report and review of literature

Lavlesh Rathore
0   Department of Neurosurgery, Shri Balaji Institute of Medical Sciences, Raipur, Chhattisgarh
,
Yashiro Yamada
0   Department of Neurosurgery, Shri Balaji Institute of Medical Sciences, Raipur, Chhattisgarh
,
Tsukasa Kawase
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Yoko Kato
1   Department of Neurosurgery, Banbuntane Hotokukai Hospital, Fujita Health University, Nagoya
,
Satya Senapati
2   Department of Neurosurgery, SMIMS, Gangtok, Sikkim
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

A patient with multiple dolichoectasia of the intracranial cerebral artery was followed sequentially with clinical and radiological progression of disease in the past 5 years. The patient was treated in multiple stages in the past 5 years with the endovascular and microsurgical clipping method. The maximum diameter of each major intracranial artery segment was recorded and compared in the follow-up year. The progression in size of the dolichoectatic segment was observed in spite of surgical intervention. In review diagnostic criteria, etiopathogenesis and treatment options have been discussed.

Key-words:

Follow-up - intracranial artery dolichoectasia - pathogenesis - rare - treatment option

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Halsey CS. An Etymology of Latin and Greek. Boston: Ginn & Company; 1889.
  • 2 Caplan LR. Dilatative arteriopathy (dolichoectasia): What is known and not known. Ann Neurol 2005;57:469-71.
  • 3 Pico F, Labreuche J, Touboul PJ, Amarenco P; GENIC Investigators. Intracranial arterial dolichoectasia and its relation with atherosclerosis and stroke subtype. Neurology 2003;61:1736-42.
  • 4 Gutierrez J, Bagci A, Gardener H, Rundek T, Ekind MS, Alperin N, et al. Dolichoectasia diagnostic methods in a multi-ethnic, stroke-free cohort: Results from the Northern Manhattan study. J Neuroimaging 2014;24:226-31.
  • 5 Passero SG, Rossi S. Natural history of vertebrobasilar dolichoectasia. Neurology 2008;70:66-72.
  • 6 Yamada K, Hayakawa T, Ushio Y, Mitomo M. Cerebral arterial dolichoectasia associated with moyamoya vessels. Surg Neurol 1985;23:19-24.
  • 7 Goldstein DA, Timpone J, Cupps TR. HIV-associated intracranial aneurysmal vasculopathy in adults. J Rheumatol 2010;37:226-33.
  • 8 Wolfe T, Ubogu EE, Fernandes-Filho JA, Zaidat OO. Predictors of clinical outcome and mortality in vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography. J Stroke Cerebrovasc Dis 2008;17:388-93.
  • 9 Pico F, Biron Y, Bousser MG, Amarenco P. Concurrent dolichoectasia of basilar and coronary arteries. Neurology 2005;65:1503-4.
  • 10 Vasović L, Trandafilović M, Jovanović I, Ugrenović S, Vlajković S. Vertebral and/or basilar dolichoectasia in human adult cadavers. Acta Neurochir (Wien) 2012;154:1477-88.
  • 11 Brinjikji W, Nasr DM, Flemming KD, Rouchaud A, Clo HJ, Lanzino G, et al. Clinical and imaging characteristics of di use intracranial dolichoectasia. AJNR Am J Neuroradiol 2017;38:915-22.
  • 12 Park SH, Yim MB, Lee CY, Kim E, Son EI. Intracranial fusiform aneurysms: It's pathogenesis, clinical characteristics and managements. J Korean Neurosurg Soc 2008;44:116-23.
  • 13 Tanaka M, Sakaguchi M, Miwa K, Okazaki S, Furukado S, Yagita Y, et al. Basilar artery diameter is an independent predictor of incident cardiovascular events. Arterioscler Thromb Vasc Biol 2013;33:2240-4.
  • 14 Smoker WR, Price MJ, Keyes WD, Corbett JJ, Gentry LR. High-resolution computed tomography of the basilar artery: 1. Normal size and position. AJNR Am J Neuroradiol 1986;7:55-60.
  • 15 Ince B, Petty GW, Brown RD Jr., Chu CP, Sicks JD, Whisnant JP, et al. Dolichoectasia of the intracranial arteries in patients with first ischemic stroke: A population-based study. Neurology 1998;50:1694-8.
  • 16 Bogousslavsky J, Regli F, Maeder P, Meuli R, Nader J. The etiology of posterior circulation infarcts: A prospective study using magnetic resonance imaging and magnetic resonance angiography. Neurology 1993;43:1528-33.
  • 17 Pico F, Labreuche J, Seilhean D, Duyckaerts C, Hauw JJ, Amarenco P, et al. Association of small-vessel disease with dilatative arteriopathy of the brain: Neuropathologic evidence. Stroke 2007;38:1197-202.
  • 18 Schievink WI, Torres VE, Wiebers DO, Huston J 3rd. Intracranial arterial dolichoectasia in autosomal dominant polycystic kidney disease. J Am Soc Nephrol 1997;8:1298-303.
  • 19 Miner ME, Rea GL, Handel S, Bertz J. Trigeminal neuralgia due to dolichoectasia: Angiographic and CT findings in a patient with the EEC syndrome. Neuroradiology 1980;20:163-6.
  • 20 Finney LH, Roberts TS, Anderson RE. Giant intracranial aneurysm associated with Marfan's syndrome. Case report. J Neurosurg 1976;45:342-7.
  • 21 Mcfarland W, Fuller DE. Mortality in Ehlers-Danlos syndrome due to spontaneous rupture of large arteries. N Engl J Med 1964;271:1309-10.
  • 22 Laforêt P, Petiot P, Nicolino M, Orlikowski D, Caillaud C, Pellegrini N, et al. Dilative arteriopathy and basilar artery dolichoectasia complicating late-onset Pompe disease. Neurology 2008;70:2063-6.
  • 23 Baccin CE, Krings T, Alvarez H, Ozanne A, Lasjaunias PL. A report of two cases with dolichosegmental intracranial arteries as a new feature of PHACES syndrome. Childs Nerv Syst 2007;23:559-67.
  • 24 Blumenkopf B, Huggins MJ. Tuberous sclerosis and multiple intracranial aneurysms: Case report. Neurosurgery 1985;17:797-800.
  • 25 Kanemoto Y, Hisanaga M, Bessho H. Association of a dolichoectatic middle cerebral artery and an intracranial cavernous hemangioma – Case report. Neurol Med Chir (Tokyo) 1998;38:40-2.
  • 26 Gutiérrrez J, Sandoval L, Rivera C, Zamorano C, Santiago N, Martínez V, et al. A dangerous combination for stroke in young patient: Assimilation of the atlas and anti beta2-glycoprotein I antibodies. Rev Med Inst Mex Seguro Soc 2009;47:89-94.
  • 27 Nakahara I, Taki W, Tanaka M, Matsumoto K, Kikuchi H. Dolichoectasia of the middle cerebral artery – Case report. Neurol Med Chir (Tokyo) 1995;35:822-4.
  • 28 Mizutani T, Miki Y, Kojima H, Suzuki H. Proposed classification of nonatherosclerotic cerebral fusiform and dissecting aneurysms. Neurosurgery 1999;45:253-9.
  • 29 Gutierrez J, Sultan S, Bagci A, Rundek T, Alperin N, Elkind MS, et al. Circle of Willis configuration as a determinant of intracranial dolichoectasia. Cerebrovasc Dis 2013;36:446-53.
  • 30 Sho E, Sho M, Singh TM, Nanjo H, Komatsu M, Xu C, et al. Arterial enlargement in response to high flow requires early expression of matrix metalloproteinases to degrade extracellular matrix. Exp Mol Pathol 2002;73:142-53.
  • 31 Aoki T. Inflammation mediates the pathogenesis of cerebral aneurysm and becomes therapeutic target. Neuroimmunol Neuroinflammation 2015;2:86-92.
  • 32 Housepian EM, Pool JL. A systematic analysis of intracranial aneurysms from the autopsy file of the Presbyterian hospital, 1914 to 1956. J Neuropathol Exp Neurol 1958;17:409-23.
  • 33 Edvinsson L, Hardebo JE, Owman C. Role of perivascular sympathetic nerves in autoregulation of cerebral blood flow and in blood-brain barrier functions. Acta Neurol Scand Suppl 1977;64:50-1.
  • 34 Ubogu EE, Zaidat OO. Vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography and risk of stroke and death: A cohort study. J Neurol Neurosurg Psychiatry 2004;75:22-6.
  • 35 Deeb ZL, Jannetta PJ, Rosenbaum AE, Kerber CW, Drayer BP. Tortuous vertebrobasilar arteries causing cranial nerve syndromes: Screening by computed tomography. J Comput Assist Tomogr 1979;3:774-8.
  • 36 Resta M. Clinical-angiographic correlations in 132 patients with mega dolichol vertebrobasilar anomaly. Neuroradiology 1984;26:213-6.
  • 37 Jagetia A, Patel K, Sachdeva D, Rathore L. Dolichoectatic internal carotid artery presenting as a sellar-suprasellar mass with symptomatic hydrocephalus. Neurol India 2017;65:681-2.
  • 38 Anson JA, Lawton MT, Spetzler RF. Characteristics and surgical treatment of dolichoectatic and fusiform aneurysms. J Neurosurg 1996;84:185-93.
  • 39 Wolters FJ, Rinkel GJ, Vergouwen MD. Clinical course and treatment of vertebrobasilar dolichoectasia: A systematic review of the literature. Neurol Res 2013;35:131-7.
  • 40 Passero S, Filosomi G. Posterior circulation infarcts in patients with vertebrobasilar dolichoectasia. Stroke 1998;29:653-9.
  • 41 Borota L, Jonasson P. Basilar and bilateral carotid dolichoectasia with spontaneous dissection of C2 segment of the internal carotid artery. AJNR Am J Neuroradiol 2006;27:1241-4.
  • 42 Otsuka G, Miyachi S, Handa T, Negoro M, Okamoto T, Suzuki O, et al. Endovascular trapping of giant serpentine aneurysms by using Guglielmi detachable coils: Successful reduction of mass effect. Report of two cases. J Neurosurg 2001;94:836-40.
  • 43 Suh SH, Kim BM, Chung TS, Kim DI, Kim DJ, Hong CK, et al. Reconstructive endovascular treatment of intracranial fusiform aneurysms: A 1-stage procedure with stent and balloon. AJNR Am J Neuroradiol 2010;31:155-60.
  • 44 Aoki T, Kataoka H, Ishibashi R, Nozaki K, Hashimoto N. Simvastatin suppresses the progression of experimentally induced cerebral aneurysms in rats. Stroke 2008;39:1276-85.