case_images: PMC10795936_01
case_images: (A) MRI 3D-TOF(3 digital- time of flight), (B) MRI T2, C:MRI T1. Basilar trunk dilation up to 9 mm of diameter deviated path to the left side responsible of medulla compression.
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case_images: PMC10795936_01_rjad737f1.jpg
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case_images: Magnetic Resonance Imaging (MRI) of the head suggests small ischemic focus in the pons and cerebellum; marked extending of the basilar artery (Fig. 1A-C).
case_images: (A) DSA-lateral, (B) DSA-Frontal. Basilar trunk dilation up to 9 mm of diameter and extended over 25 mm of length with a tortuous and deviated path to the left side.
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case_images: PMC10795936_01_rjad737f2.jpg
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case_images: The Digital subtraction angiography (DSA) was given to the patient (Fig. 2A and B).
case_images: (A) Coil and stent implantation for VBD, and show peripheral blood supply after operation. (B) Non-contrast axial CT scan of the brain showing VBD after surgery.
case_images: rjad737f3.jpg
case_images: PMC10795936_01_rjad737f3.jpg
case_images: f3
case_images: Release stent 1: LEO (5.5 mm*60 mm, LEO, USA), then choose the appropriate ring (14 mm*30 cm, 13 mm*30 cm, 12 mm*30 cm, 10 mm*30 cm, Taijie Weiye, China) to occlude the dilated artery (Fig. 3A). Postoperatively, we scanned the Computed Tomography (CT) (Fig. 3A), the TN was completely relieved, but there was residual left-sided facial palsy with a House-Brackmann grade IV and a grade III right limb muscle strength.