Dolichoectasia hydrocephalus; brain magnetic resonance imaging; vertebro-basilar dolichoectasia; Internal Medicine
Abstract :
[en] ("[en] 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.
LEARNING POINTS: Vertebro-basilar dolichoectasia is a little known cause of altered mental status in elderly patients.An atypical presentation of vertebro-basilar dolichoectasia can mimic extensive cerebrovascular haemorrhage.The prognosis is poor despite prompt diagnosis and the surgical treatment of choice.","[en] ","")
Disciplines :
Human health sciences: Multidisciplinary, general & others
Author, co-author :
Laverdeur, Clarice ; Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Azongmo Tadjouteu, Murielle ; Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences ; Service des Urgences, CHR Citadelle de Liège, Liège, Belgium
Berenger Ngah, Claude; Service des Urgences, CHR de Huy, Liège, Belgium
Görür, Yilmaz ; Centre Hospitalier Universitaire de Liège - CHU > > Service médical de radiodiagnostic ; Service de Radiologie, Clinique André Renard, Herstal, Belgium
Cardos, Benoît ; Centre Hospitalier Universitaire de Liège - CHU > > Service des urgences
Lorenzo Villalba, Noel; Service de Médecine Interne, Diabète et Maladies Métaboliques, Hôpitaux Universitaires de Strasbourg, France
Ali, Deeba; Services des Urgences, CHC Clinique MontLégia, Liège, Belgium
Language :
English
Title :
Severe Hydrocephalus due to Obstructive Basilar Dolichoectasia of the Third Ventricle.
Publication date :
2022
Journal title :
European Journal of Case Reports in Internal Medicine
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