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Vertebrobasilar Dolichoectasia Causing An Optic Tract Syndrome

Holmes, Brandon B. BA; Green, Wesley C. MD; Kung, Nathan H. MD; Goebel, Joel A. MD; Van Stavern, Gregory P. MD

Section Editor(s): McCulley, Timothy J. MD

Journal of Neuro-Ophthalmology: June 2017 - Volume 37 - Issue 2 - p 179–181
doi: 10.1097/WNO.0000000000000495
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Abstract: Vertebrobasilar dolichoectasia (VBD) is characterized by significant dilation, elongation, and tortuosity of the vertebrobasilar system. We present a unique case of VBD, confirmed by neuroimaging studies, showing vascular compression of the right optic tract and lower cranial nerves leading to an incongruous left homonymous inferior quadrantanopia and glossopharyngeal neuralgia.

Medical Scientist Training Program (BBH), Washington University School of Medicine, St. Louis, Missouri

Departments of Ophthalmology and Visual Sciences (WCG, NHK, GPVS) and Otolaryngology-Head & Neck Surgery (JAG), Washington University, St. Louis, Missouri.

Address correspondence to Gregory P. Van Stavern, MD, Department of Ophthalmology and Visual Sciences, 660 South Euclid Avenue, Campus Box 8096, St. Louis, MO 63110; E-mail:

The authors report no conflicts of interest.

© 2017 by North American Neuro-Ophthalmology Society