J Neuroophthalmol 2017 06;37(2):179-181
Medical Scientist Training Program (BBH), Washington University School of Medicine, St. Louis, Missouri Departments of Ophthalmology and Visual Sciences (WCG, NHK, GPVS) and Otolaryngology-Head & Neck Surgery (JAG), Washington University, St. Louis, Missouri.
Vertebrobasilar dolichoectasia (VBD) is characterized by significant dilation, elongation, and tortuosity of the vertebrobasilar system. We present a unique case of VBD, confirmed by neuroimaging studies, showing vascular compression of the right optic tract and lower cranial nerves leading to an incongruous left homonymous inferior quadrantanopia and glossopharyngeal neuralgia.