Search tips
Search criteria 


Logo of bmjcrInstructions for authorsCurrent ToCBMJ Case Reports
BMJ Case Rep. 2010; 2010: bcr10.2009.2325.
Published online Feb 8, 2010. doi:  10.1136/bcr.10.2009.2325
PMCID: PMC3030288
Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
Dolichoectasia and multifocal simultaneous intracranial haemorrhages
Jose Gutierrez, David Adams, Leticia Tornes, Richard Isaacson, and Clinton B Wright
University of Miami/Leonard M Miller School of Medicine, Department of Neurology, 1387, 1120 NW 14th Street, Miami, FL 33136, USA
Correspondence to Jose Gutierrez, drjosegc/at/
Dolichoectasia is found primarily in aged individual with atherosclerotic disease. It presents with brain stem compression and stroke, which could be ischaemic or haemorrhagic. Even if severe atherosclerosis is thought to play a pivotal role, new evidence suggest that the internal elastic laminae is disrupted, intracranially and extracranially, so multiorganic involvement with various clinical presentations can occur. We present a rare association of multiorganic dolichoectasia debuting with multiple intracranial haemorrhages. A 79-year-old woman presented with altered mental status and left hemiplegia. The work up demonstrated brain arteries dolichoectasia and an abdominal aortic aneurysm with multiple site intraparenchymal haemorrhages. In this case, the presentation of multiple site dolichoectasia and multiple haemorrhages is probably linked to a systemic “media disease” that affected the media of small, medium and large arteries rather than a coincidental finding.
Articles from BMJ Case Reports are provided here courtesy of
BMJ Group