Endovascular treatment of basilar artery stenosis due to cerebral vasculopathy related to neurofibromatosis (NF1).

BACKGROUND

Cerebrovascular lesions are uncommon in neurofibromatosis type 1 (NF1).

CASE DESCRIPTION: We report a case of 34-year-old man with NF1 who developed posterior circulation stroke. Diffusion-weighted imaging showed acute infarcts in the right vertebra basilar artery territory. Digital subtraction angiography demonstrated significant stenosis of the basilar artery in the mid segment that was identified as the etiology of the symptoms. The vertebral arteries were tortuous and the basilar artery was ectatic. Subsequently endeavour resolute stent was placed across the lesion and post-procedure angiogram showed resolution of stenosis.

CONCLUSION

Selective stenotic involvement of the basilar artery with ectatic vertebrobasilar circulation associated with NF1, which was successfully treated with endovascular method, was not been reported previously to our knowledge.