DOI: 10.12890/2022_003436

Severe Hydrocephalus due to Obstructive Basilar Dolichoectasia of the Third Ventricle

Authors

  • Clarice Laverdeur Service des Urgences, CHU Sart-Tilman, Liège, Belgium
  • Murielle Azongmo Tadjouteu ervice des Urgences, CHR Citadelle de Liège, Liège, Belgium
  • Claude Ngah Berenger Service des Urgences, CHR de Huy, Liège, Belgium
  • Yilmaz Gorur Service de Radiologie, Clinique André Renard, Herstal, Belgium
  • Benoît Cardos Service de Département des Sciences de la Santé Publique, Université deLiège, Belgium
  • Noel Lorenzo-Villalba Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, France
  • Deeba Ali Services des Urgences, CHC Clinique MontLégia, Liège, Belgium

deeba.ali88@gmail.com

Keywords

Dolichoectasia hydrocephalus, brain magnetic resonance imaging, vertebro-basilar dolichoectasia

Abstract

Vertebro-basilar dolichoectasia (VBD) is a rare pathology of unknown aetiology. Its clinical presentation is wide and prognosis is generally poor with a high mortality rate. Cerebral magnetic resonance imaging is the gold standard for diagnosis.
We report an unusual case of intracranial dolichoectasia. VBD was revealed during investigation of a patient with altered mental status. CT brain imaging demonstrated severe obstructive hydrocephalus secondary to compression of the third ventricle. Management is always challenging and depends on the location and the mode of presentation. Our patient died despite surgical management with placement of an external ventricular shunt

View the entire article

Downloads

References

  1. Di Santo M, Fastré S, Gusti T. Hydrocéphalie obstructive secondaire à une dolichoectasie de l’artère basilaire: à propos d’un cas (Namur, Belgique). Neurochirurgie 2019;65(2–3):118.
  2. Kamaoui I, Faiz F, Benzagmout M, Fedoul B, Sqalli Houssaini N, Messouak O, et al. Dolichoectasie vertébro-basilaire: pathologie évolutive. Feuill Radiol 2006;46(6):433–439.
  3. Allibert R, Muzard E, Revenco E, Vuillier F, Moulin T, Rumbach L. Accidents vasculaires cérébraux à répétition sur dolichoectasie du tronc basilaire malgré un traitement antithrombotique. Rev Neurol 2007;163(4, Suppl 1):12.
  4. Pico F, Labreuche J, Hauw JJ, Amarenco P. Dolichoectasies artérielle intracrânienne. EMC Neurologie 2008;5:1–12. doi: 10.1016/S0246-0378(08)43919-2.
  5. Kaid T, Kesraoui S, Arezki M. Dolichoectasies vertébro-basilaire (DEVB): à propos de deux cas. Rev Neurol 2015;171(1):A38.
  6. Champeaux C, Botella C, Lefevre E, Devaux B. Obstructive hydrocephalus caused by an unruptured arteriovenous malformation successfully treated by endoscopic third ventriculostomy after shunt dysfunction. Turk Neurosurg 2018;28(3):500–504.

Published

2022-07-27

Issue

Vol. 9 No. 7 (2022)

How to Cite

1.
Laverdeur C, Azongmo Tadjouteu M, Ngah Berenger C, Gorur Y, Cardos B, Lorenzo-Villalba N, et al. Severe Hydrocephalus due to Obstructive Basilar Dolichoectasia of the Third Ventricle. EJCRIM [Internet]. 2022 Jul. 27 [cited 2026 Nov. 4];9(7). Available from: https://ejcrim.com/index.php/ejcrim/article/view/3436

Most read articles by the same author(s)

<< < 1 2