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Updated: Feb 2, 2026
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
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Vertebrobasilar dolichoectasia presenting simultaneously with ischemic and hemorrhagic strokes
Tia Chakraborty1, Giuseppe Lanzino2, Kelly D Flemming1
1Mayo Clinic Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Summary
Vertebrobasilar dolichoectasia (VBDE) can cause brainstem issues. This case report details a unique patient experiencing simultaneous cerebral ischemia and hemorrhage due to VBDE.
Area of Science:
- Neurology
- Vascular Neurology
- Neuroimaging
Background:
- Vertebrobasilar dolichoectasia (VBDE) is a vascular condition characterized by abnormal dilation and elongation of the vertebrobasilar arteries.
- VBDE can lead to various neurological deficits, including compressive symptoms, ischemic events, and hemorrhagic complications.
Observation:
- A 76-year-old male presented with symptoms of an acute left pontine ischemic stroke, including ataxic dysarthria and right ataxic hemiparesis.
- Brain MRI revealed acute cerebral ischemia in the left pons, a small hemorrhage in the right thalamus, and evidence of VBDE.
Findings:
- The patient exhibited simultaneous presentation of both cerebral ischemia and hemorrhage.
- This dual presentation is attributed to the pathological nature of the VBDE and its branching perforating vessels.
Implications:
- This case highlights the potential for vertebrobasilar dolichoectasia to cause concurrent ischemic and hemorrhagic events.
- Understanding this rare complication is crucial for diagnosing and managing patients with VBDE, potentially improving treatment strategies.
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