Vertebrobasilar dolichoectasia induced hydrocephalus: the water-hammer effect

Vertebrobasilar dolichoectasia induced hydrocephalus: the water-hammer effect

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Vertebrobasilar dolichoectasia is a clinical entity associated Television rarely with obstructive hydrocephalus.We present a 48-year old male with a profound dilatation of the ventricular system due to a dolichoectatic basilar artery, as appeared in imaging studies.The patient suffered from longstanding hydrocephalus and presenile dementia.The underlying mechanism for obstructive hydrocephalus due to vertebrobasilar dolichoectasia is considered to be both a water-hammer effect and a Fountains direct compression of adjacent structures.

We suggest prompt surgical intervention upon diagnosis as a first choice treatment in order to avoid further complications.