Cerebral arterial dolichoectasia with seizure

Case report

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✓ Cerebral angiography, performed after a seizure in a patient with a life-long history of typical hemiplegic migraine, disclosed markedly dolichoectatic anterior and middle cerebral arteries. No abnormality of the adjacent capillary or venous structures was present. A positive brain scan was attributed to ischemia induced by vasospasm rather than to the corresponding large tortuous anterior and middle cerebral arteries. There were no permanent sequelae and the patient has been free of seizures on Dilantin and phenobarbital over a 3-year follow-up period. Angiographic demonstration or description of a similar ectatic set of anterior and middle cerebral arteries could not be found in the literature. The concurrence of seizures and hemiplegic migraine adds to the peculiarity of this case.

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Address reprint requests to: Joseph R. Thompson, M.D., Department of Radiology, Loma Linda University Medical Center, Loma Linda, California 92354.
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References
  • 1.

    Bergstrand HOlivecrona HTönnis W: Gefässmissbildungen und Gefässgeschwülste des Gehirns. Leipzig: Georg Thieme1936Bergstrand H Olivecrona H Tönnis W: Gefässmissbildungen und Gefässgeschwülste des Gehirns. Leipzig: Georg Thieme 1936

    • Search Google Scholar
    • Export Citation
  • 2.

    Brasch F quoted by Wyburn-Mason R: The Vascular Abnormalities and Tumors of the Spinal Cord and Its Membranes. London: Henry Kimpton1943Brasch F quoted by Wyburn-Mason R: The Vascular Abnormalities and Tumors of the Spinal Cord and Its Membranes. London: Henry Kimpton 1943

    • Search Google Scholar
    • Export Citation
  • 3.

    Breig AEkbom KGreitz Tet al: Hydrocephalus due to elongated basilar artery. A new clinicoradiological syndrome. Lancet 1:8748751967Breig A Ekbom K Greitz T et al: Hydrocephalus due to elongated basilar artery. A new clinicoradiological syndrome. Lancet 1:874–875 1967

    • Search Google Scholar
    • Export Citation
  • 4.

    Krayenbühl HAYaşargil MG: Cerebral Angiography. Philadelphia: JB Lippincott1968Krayenbühl HA Yaşargil MG: Cerebral Angiography. Philadelphia: JB Lippincott 1968

    • Search Google Scholar
    • Export Citation
  • 5.

    Krayenbühl HAYaşargil MG: Das Hirnaneurysma. Basel: JR Geigy1958Krayenbühl HA Yaşargil MG: Das Hirnaneurysma. Basel: JR Geigy 1958

    • Search Google Scholar
    • Export Citation
  • 6.

    Russell DSRubenstein LJ: Pathology of Tumors of the Nervous System. London: Edward Arnold1959Russell DS Rubenstein LJ: Pathology of Tumors of the Nervous System. London: Edward Arnold 1959

    • Search Google Scholar
    • Export Citation
  • 7.

    Sacks JGLindenburg R: Dolicho-ectatic intracranial arteries: symptomatology and pathogenesis of arterial elongation and distension. Johns Hopkins Med J 125:951061969Sacks JG Lindenburg R: Dolicho-ectatic intracranial arteries: symptomatology and pathogenesis of arterial elongation and distension. Johns Hopkins Med J 125:95–106 1969

    • Search Google Scholar
    • Export Citation
  • 8.

    Wallace SJaffe ME: Cerebral arterial ectasia with saccular aneurysms. Radiology 88:90931967Wallace S Jaffe ME: Cerebral arterial ectasia with saccular aneurysms. Radiology 88:90–93 1967

    • Search Google Scholar
    • Export Citation
  • 9.

    Wyburn-Mason R: The Vascular Abnormalities and Tumors of the Spinal Cord and its Membranes. London: Henry Kimpton1943Wyburn-Mason R: The Vascular Abnormalities and Tumors of the Spinal Cord and its Membranes. London: Henry Kimpton 1943

    • Search Google Scholar
    • Export Citation
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