NATURAL HISTORY OF VERTEBROBASILAR DOLICHOECTASIA
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To the Editor:
We read the article by Passero and Rossi with interest.1 This is one of the most comprehensive and compact reviews of vertebrobasilar dolichoectasia in the literature and covers all the aspects of the disease with focus on the ischemic side.
The authors discuss the high rate of ischemic stroke and possible mechanisms, noting that not all the patients may benefit from antiplatelet or anticoagulant therapy, which puts them at risk for intracranial hemorrhage.2 We want to emphasize something that the authors did not mention, which is the presence of thrombus in the dilated arteries either isolated or along with dissection. There are a few case reports, mostly involving imaging.3–5
We would like to present a 50-year-old man with recurrent posterior system ischemic attacks and with typical …
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