Vertebrobasilar artery dolichoectasia manifesting as Millard-Gubler syndrome in a young acute ischemic stroke
- Journal of Neurology & Stroke
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M Hamid,1 Y Adraoui,1 N Mouloudi,1 Y Benmoh,1 A Bakkal,1 A Satte,2 A Bourazza1
Abstract
Vertebrobasilar dolichoectasia (VBD) is an arterial disease characterized by dilatation, elongation, and tortuosity of the vertebral and basilar arteries. VBD can generate intracranial hemorrhage, compression of the brainstem, and ischemic stroke as the most common presentation. Millard-Gubler syndrome (MGS) is a pontine-crossed syndrome affecting the pons at the level of the facial nerve nucleus. We present an unusual case of posterior circulation ischemic stroke presenting as MGS due to VBD.
Keywords
vertebrobasilar dolichoectasia, millard-gubler syndrome, ischemic stroke, antiplatelet agents