Work

Improvement of gaze palsy and dizziness caused by vertebrobasilar dolichoectasia by conservative approach

Year: 2025

Type: article

Abstract: Vertebrobasilar dolichoectasia (VBD) is a rare case with incidence <0.05–0.06%. With prevalence ranges from 0.2% to 4.4%, its etiology is still unclear. We reported a case of a 62-year-old male brought to the hospital with complaints of sudden dizziness in the past 4 days before admission. Complaints were accompanied by binocular diplopia and a thick sensation on the tongue. There was no significant history of previous illness. The patient was prescribed dual antiplatelet therapy (100 mg of aspirin daily and 75 mg of clopidogrel daily) for 90 days, followed by continued single-antiplatelet therapy (100 mg of aspirin daily). After 5 days of treatment, the patient was discharged due to improved dizziness complaints. This case shows a conservative approach, blood pressure management, and stroke prevention, which could be considered as an initial treatment for VBD.

Source: Journal of Neurosciences in Rural Practice

DOI: 10.25259/jnrp_436_2024

Authors: Hendra Nuryanto, Hanik Badriyah Hidayati

Institution: Universitas Airlangga

Language: English

Topic: Cerebrovascular and Carotid Artery Diseases

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $125