Under pressure: pressure-dependent pontine compression by a dolichoectasia basilar artery, a case report
Recommended Citation
Martinez-Nunez AE, Fynke JE, and Miller DJ. Under pressure: pressure-dependent pontine compression by a dolichoectasia basilar artery, a case report. Neuroradiol J 2021.
Document Type
Article
Publication Date
5-24-2021
Publication Title
Neuroradiol J
Abstract
Basilar artery dolichoectasia can lead to ischemic stroke through thrombosis of small perforating vessels of the brainstem. Here we report the case of a patient with transient paramedian pontine syndrome in the setting of a hypertensive crisis, finding a dolichoectasia basilar artery compressing on the ventral surface of the pons. The outcome was near-complete resolution of deficits after blood pressure control. We propose increased basilar artery pulse pressure as a novel mechanism of transient compression of the brainstem by a dolichoectasia artery.
PubMed ID
34028323
ePublication
ePub ahead of print
First Page
19714009211017785
Last Page
19714009211017785
