Improvement of gaze palsy and dizziness caused by vertebrobasilar dolichoectasia by conservative approach

Vertebrobasilar dolichoectasia (VBD) is a rare case with incidence <0.05–0.06%. With prevalence ranges from 0.2% to 4.4%, its etiology is still unclear. We reported a case of a 62-year-old male brought to the hospital with complaints of sudden dizziness in the past 4 days before admission. Complaints were accompanied by binocular diplopia and a thick sensation on the tongue. There was no significant history of previous illness. The patient was prescribed dual antiplatelet therapy (100 mg of aspirin daily and 75 mg of clopidogrel daily) for 90 days, followed by continued single-antiplatelet therapy (100 mg of aspirin daily). After 5 days of treatment, the patient was discharged due to improved dizziness complaints. This case shows a conservative approach, blood pressure management, and stroke prevention, which could be considered as an initial treatment for VBD.