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Hydrocephalus caused by dolichoectatic basilar artery. Case report.

G Ricci1, J Lenzi, V Esposito

  • 1Department of Neurological Sciences, University La Sapienza, Rome, Italy.

Journal of Neurosurgical Sciences
|December 29, 2000
PubMed
Summary

A rare case of dolichoectatic basilar artery compressing the foramen of Monro caused hydrocephalus. Treatment involved a biventriculo-peritoneal shunt, highlighting diagnostic and management challenges.

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Area of Science:

  • Neurology
  • Vascular Neurology
  • Neurosurgery

Background:

  • Dolichoectasia of the basilar artery is a rare vascular condition characterized by abnormal dilation and elongation.
  • Hydrocephalus can arise from various causes, including obstructive or communicating pathways within the cerebrospinal fluid system.

Observation:

  • A rare case of dolichoectatic basilar artery directly compressing the foramen of Monro, leading to obstructive hydrocephalus.
  • Diagnostic imaging modalities, including computed tomography (CT) scan and magnetic resonance (MR) angiography, were crucial in documenting the anatomical abnormality and its effect.

Findings:

  • The dolichoectatic basilar artery exerted mass effect on the brain structures, specifically causing obstruction at the foramen of Monro.
  • Successful management was achieved through the placement of a biventriculo-peritoneal shunt to alleviate the increased intracranial pressure.

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Implications:

  • This case underscores the importance of considering vascular anomalies in the differential diagnosis of hydrocephalus, especially when typical causes are not apparent.
  • Effective treatment requires a multidisciplinary approach, integrating neuroimaging, neurosurgery, and neurological expertise for optimal patient outcomes.