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Background: Dolichoectasia is an anomalous condition of the blood vessels that arise due to architectural abnormalities in the weakened walls.  Case description: This is a case of a 67-year-old woman being managed for chronic hypertension who initially presented with features of left hemispheric stroke. Neurovascular imaging revealed dolichoectasia of both the vertebrobasilar and anterior cerebral circulations.  Conclusion: This clinical scenario is peculiar because simultaneous affectation of both vascular territories is extremely rare. Management of her condition was a diagnostic dilemma due to the rarity of her pathology and the low-resource setting of our environment.  Keywords: dolichoectasia; vertebrobasilar; anterior cerebral circulation

Vertebrobasilar and anterior cerebral circulation dolichoectasia in a 67-year-old woman presenting as stroke