Brainstem capillary telangiectasias in a pacient with central vestibular syndrome

Abstract

Capillary telangiectasias repesent one of the four types of brainstem vascular malformations, characterized by multiple thin-walled vascular channels, interposed between normal brain parenchyma of unknown etiology. They are most of the time an incidental radiologic finding, almost all patients being asymptomatic. We present the case of a 65 years old male, admitted to our clinic for recurrent episodes of horizontal diplopia to lateral gaze on the left side, dizziness and unsteadiness of gait. The cerebral MRI showed imaging features characteristic for capillary telangiectasias in the brainstem and the cerebral angiography was normal.

Keywords

• capillary telangiectasias
• malformation
• brainstem