Recurrent cranial nerve palsies, midbrain infarction and hydrocephalus due to megadolichobasilar artery.
A 67-year-old man presented four recurrent, alternating facial palsies, two right abducens palsies and eventually a right extrinsic third nerve palsy due to brain-stem infarction in a 37-year time-span. Neuroradiological examinations showed hydrocephalus and an elongated, tortuous, ectasic basilar artery. This patient presented in his lifetime the whole clinical spectrum of the dolichoectasic basilar artery complications.
Uncini
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A
Istituto di Clinica Neurologica e Scienze del comportamento, Università di Chieti.
Lugaresi
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Porrini
A M
AM
Gallucci
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M
D000368:Aged; D001488:Basilar Artery / Q000473:pathology*; D002539:Cerebral Arterial Diseases / Q000150:complications* / Q000473:pathology; D002544:Cerebral Infarction / Q000209:etiology* / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000473:pathology; D012008:Recurrence