Vertebrobasilar Dolichoectasia Presenting Recurrent Episodes of Locked-in syndrome: A Case Report and Literature Review

Gupta, Ayush; Elnazier, Marwa; Rosa, Talita D’Aguiar

Vertebrobasilar Dolichoectasia Presenting Recurrent Episodes of Locked-in syndrome: A Case Report and Literature Review

Ayush Gupta¹, Marwa Elnazier^{2, *}, Talita D’Aguiar Rosa²

¹ Division of Child Neurology, Department of Neurology, University of Louisville, Kentucky 40202, United States

² Department of Neurology, University of Louisville, Kentucky 40202, United States

Article Information

Identifiers and Pagination:

Year: 2023
Volume: 17
E-location ID: e1874205X2303310
Publisher ID: e1874205X2303310
DOI: 10.2174/1874205X-v17-e230419-2022-2

Article History:

Received Date: 03/02/2023
Revision Received Date: 08/03/2023
Acceptance Date: 17/03/2023
Electronic publication date: 11/05/2023
Collection year: 2023

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© 2023 Gupta et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

^* Address correspondence to this author at the Department of Neurology, University of Louisville, Kentucky-40202, 500 South Preston St. HSC-A Bldg. Suite 113 Louisville, KY 40202, United States; Tel: 313-443-5001; E-mail: marwa.elnazeir@louisville.edu

Introduction:

Vertebrobasilar Dolichoectasia (VBD) is a rare disorder in which arteries cause dilatation and tortuosity of the blood vessels, which affect posterior circulation.

Case Presentation:

In this case report, we discuss a patient of VBD presenting with transient episodes of quadriparesis, aphasia, and vertigo. She had symptoms specifically when her head was turned towards the right side while waking up. Based on MRI findings and angiography, the patient was diagnosed with VBD.

Conclusion:

To conclude, VBD should be considered a differential diagnosis for patients presenting with recurrent transient ischemic attacks, such as locked-in syndrome, without any identifiable cause.

Keywords: Vertebrobasilar dolichoectasia, Transient ischemic attack, Stroke, Neuroimaging, Diagnosis, Patients.

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CASE REPORT

Vertebrobasilar Dolichoectasia Presenting Recurrent Episodes of Locked-in syndrome: A Case Report and Literature Review

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Abstract

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Conclusion:

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