Dolichoectasia and multifocal simultaneous intracranial haemorrhages

Jose Gutierrez, David Adams, Leticia Tornes, Richard Isaacson, Clinton B Wright

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Dolichoectasia is found primarily in aged individual with atherosclerotic disease. It presents with brain stem compression and stroke, which could be ischaemic or haemorrhagic. Even if severe atherosclerosis is thought to play a pivotal role, new evidence suggest that the internal elastic laminae is disrupted, intracranially and extracranially, so multiorganic involvement with various clinical presentations can occur. We present a rare association of multiorganic dolichoectasia debuting with multiple intracranial haemorrhages. A 79-year-old woman presented with altered mental status and left hemiplegia. The work up demonstrated brain arteries dolichoectasia and an abdominal aortic aneurysm with multiple site intraparenchymal haemorrhages. In this case, the presentation of multiple site dolichoectasia and multiple haemorrhages is probably linked to a systemic "media disease" that affected the media of small, medium and large arteries rather than a coincidental finding.

Original languageEnglish
JournalBMJ Case Reports
DOIs
StatePublished - Feb 8 2010

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Intracranial Hemorrhages
Arteries
Hemorrhage
Hemiplegia
Abdominal Aortic Aneurysm
Brain Stem
Atherosclerosis
Stroke
Brain

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Dolichoectasia and multifocal simultaneous intracranial haemorrhages. / Gutierrez, Jose; Adams, David; Tornes, Leticia; Isaacson, Richard; Wright, Clinton B.

In: BMJ Case Reports, 08.02.2010.

Research output: Contribution to journalArticle

Gutierrez, Jose ; Adams, David ; Tornes, Leticia ; Isaacson, Richard ; Wright, Clinton B. / Dolichoectasia and multifocal simultaneous intracranial haemorrhages. In: BMJ Case Reports. 2010.
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