Vertebrobasilar Dolichoectasia Presenting Recurrent Episodes of Locked-in syndrome: A Case Report and Literature Review

Abstract

Introduction: Vertebrobasilar Dolichoectasia (VBD) is a rare disorder in which arteries cause dilatation and tortuosity of the blood vessels, which affect posterior circulation. Case Presentation: In this case report, we discuss a patient of VBD presenting with transient episodes of quadriparesis, aphasia, and vertigo. She had symptoms specifically when her head was turned towards the right side while waking up. Based on MRI findings and angiography, the patient was diagnosed with VBD. Conclusion: To conclude, VBD should be considered a differential diagnosis for patients presenting with recurrent transient ischemic attacks, such as locked-in syndrome, without any identifiable cause.