PURPOSE: To report a case of optic tract compression caused by a dolichoect
atic basilar artery
DESIGN: Observational case report.
METHODS: A 74-year-old man with progressive loss of vision over 13 years an
d no other neurologic signs or symptoms was found to have bilateral optic n
erve head pallor and a left homonymous hemianopia.
RESULTS: Magnetic resonance imaging and angiography revealed a severe dolic
hoectatic basilar artery compressing the right optic tract.
CONCLUSION: Basilar artery dolichoectasia may rarely cause compression of t
he optic tract and progressive visual loss. (C) 2001 by Elsevier Science In
c. All rights reserved.