Table 4:

Comparison of diagnostic criteria and outcomes

Diffuse Intracranial DolichoectasiaVertebrobasilar Dolichoectasiaa
Imaging appearanceFusiform aneurysmal dilation of an entire vascular segment (ie, supraclinoid ICA, basilar artery, M1 segment of the MCA)Fusiform: aneurysmal dilation without definable neck involving a portion of an arterial segment with any degree of tortuosity
Dolichoectatic: uniform aneurysmal dilation of an artery involving the entire basilar or vertebral or both with any degree of tortuosity
Transitional: uniform aneurysmal dilation of an artery with superimposed dilation of a portion of the involved arterial segment
Distribution≥2 Intracranial vascular beds (ie, vertebrobasilar system, left anterior circulation, or right anterior circulation)Vertebrobasilar system only
Size criteriaCavernous ICA: ≥8.5 mm
Supraclinoid ICA: ≥8.0 mm
MCA: ≥5.0 mm
Basilar artery: ≥6.0 mm
Basilar artery diameter of >5.0 mm
Growth rate10%/year7%/year2,10
Ischemic stroke risk11%/year3%/year2,10
Aneurysm rupture risk6%/year2%/year2,10
  • a Definitions of vertebrobasilar dolichoectasia proposed by Flemming et al.2