Vertebrobasilar dolichoectasia induced hydrocephalus: the water-hammer effect

  • Vaso Zisimopoulou | vzisimopoulou@gmail.com Department of Neurology, Evangelismos Hospital, Athens, Greece. http://orcid.org/0000-0002-9264-2590
  • Aikaterini Ntouniadaki Department of Neurology, Evangelismos Hospital, Athens, Greece.
  • Panagiotis Aggelidakis Department of Neurology, Evangelismos Hospital, Athens, Greece.
  • Anna Siatouni Epilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, Evangelismos Hospital, Athens, Greece.
  • Stylianos Gatzonis Epilepsy Surgery Unit, Department of Neurosurgery, University of Athens, School of Medicine, Evangelismos Hospital, Athens, Greece.
  • Antonios Tavernarakis Department of Neurology, Evangelismos Hospital, Athens, Greece.

Abstract

Vertebrobasilar dolichoectasia is a clinical entity associated rarely with obstructive hydrocephalus. We present a 48-year old male with a profound dilatation of the ventricular system due to a dolichoectatic basilar artery, as appeared in imaging studies. The patient suffered from longstanding hydrocephalus and presenile dementia. The underlying mechanism for obstructive hydrocephalus due to vertebrobasilar dolichoectasia is considered to be both a water-hammer effect and a direct compression of adjacent structures. We suggest prompt surgical intervention upon diagnosis as a first choice treatment in order to avoid further complications.

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Published
2015-05-27
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Section
Case Reports
Keywords:
Vertebrobasilar, dolichoectasia, hydrocephalus.
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How to Cite
Zisimopoulou, V., Ntouniadaki, A., Aggelidakis, P., Siatouni, A., Gatzonis, S., & Tavernarakis, A. (2015). Vertebrobasilar dolichoectasia induced hydrocephalus: the water-hammer effect. Clinics and Practice, 5(2). https://doi.org/10.4081/cp.2015.749

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