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Pasquini M, Trystram D, Nokam G, Gobin-Metteil MP, Oppenheim C, Touzé E. Fibromuscular dysplasia of cervicocephalic arteries: Prevalence of multisite involvement and prognosis. Rev Neurol (Paris) 2015; 171:616-23. [DOI: 10.1016/j.neurol.2015.02.011] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2013] [Revised: 09/26/2014] [Accepted: 02/04/2015] [Indexed: 10/23/2022]
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Fibromuscular Dysplasia Dawdling for 8 Years before Showing Its True Face. J Stroke Cerebrovasc Dis 2013; 22:e656-7. [DOI: 10.1016/j.jstrokecerebrovasdis.2013.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2013] [Revised: 04/15/2013] [Accepted: 05/01/2013] [Indexed: 11/19/2022] Open
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Touzé E, Oppenheim C, Trystram D, Nokam G, Pasquini M, Alamowitch S, Hervé D, Garnier P, Mousseaux E, Plouin PF. Fibromuscular Dysplasia of Cervical and Intracranial Arteries. Int J Stroke 2010; 5:296-305. [DOI: 10.1111/j.1747-4949.2010.00445.x] [Citation(s) in RCA: 121] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Fibromuscular dysplasia is an uncommon, segmental, nonatherosclerotic arterial disease of unknown aetiology. The disease primarily affects women and involves intermediate-sized arteries in many areas of the body, including cervical and intracranial arteries. Although often asymptomatic, fibromuscular dysplasia can also be associated with spontaneous dissection, severe stenosis that compromises the distal circulation, or intracranial aneurysm, and is therefore responsible for cerebral ischaemia or subarachnoid haemorrhage. Fibro-muscular dysplasia affects middle and distal portions of the internal carotid and vertebral arteries, and occasionally, intracranial arteries. Several pathological and angiographic patterns exist. The most frequent pathological type is medial fibromuscular dysplasia, which is associated with the ‘string of beads' angiographic pattern. Unifocal lesions are less common and can be associated with several pathological subtypes. The pathophysiology of the disease is widely unknown. Fibromuscular dysplasia may in fact result from various causes and reflect a non-specific response to different insults. The poor knowledge of the natural history and the lack of randomised trials that compared the different treatment options do not allow any satisfactory judgement to be made regarding the need for or the efficacy of any treatment.
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Affiliation(s)
| | - Catherine Oppenheim
- Department of Neurology, Université Paris Descartes, Pôle neuroscience, services de Neurologie et de Neuroradiologie, Hôpital Sainte-Anne, Paris, France
| | - Denis Trystram
- Department of Neurology, Université Paris Descartes, Pôle neuroscience, services de Neurologie et de Neuroradiologie, Hôpital Sainte-Anne, Paris, France
| | - Ghislain Nokam
- Department of Neurology, Université Paris Descartes, Pôle neuroscience, services de Neurologie et de Neuroradiologie, Hôpital Sainte-Anne, Paris, France
| | - Marta Pasquini
- Department of Neurology, Université Paris Descartes, Pôle neuroscience, services de Neurologie et de Neuroradiologie, Hôpital Sainte-Anne, Paris, France
| | - Sonia Alamowitch
- Université Pierre et Marie Curie, Service de Neurologie, Hôpital Tenon, Paris, France
| | - Dominique Hervé
- Université Paris Diderot, Service de Neurologie, Hôpital Lariboisière, Paris, France
| | - Pierre Garnier
- Université de Saint-Etienne, Service de Neurologie, Saint-Etienne, France
| | - Elie Mousseaux
- Université Paris Descartes, Service de Radiologie, Hôpital Européen Georges Pompidou, Paris, France
| | - Pierre-François Plouin
- Université Paris Descartes, Unité d'hypertension, Centre National de Référence des Maladies vasculaires rares, Hôpital Européen Georges Pompidou , Paris, France
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Belen D, Bolay H, Firat M, Akpinar G, Bertan V. Unusual appearance of intracranial fibromuscular dysplasia. A case report. Angiology 1996; 47:627-32. [PMID: 8678339 DOI: 10.1177/000331979604700613] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Fibromuscular dysplasia (FMD) of intracranial arteries is seen rarely and usually limited to the intrapetrosal internal carotid artery or carotid siphon. The authors report a case with recurrent subarachnoid hemorrhage diagnosed angiographically as FMD with extensive involvement of intracranial arteries. Angiography showed large fusiform dilatations and multiple aneurysms along the left intracranial internal carotid artery into its major branches, middle cerebral and posterior communicating arteries, and tip of the basilar and posterior cerebral arteries. Such an angiographic appearance has not been previously reported. Radiologic findings are demonstrated and possible pathophysiologic mechanisms are discussed.
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Affiliation(s)
- D Belen
- Department of Neurosurgery, Hacettepe University School of Medicine, Ankara, Turkey
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Garcia-Merino JA, Gutierrez JA, Lopez-Lozano JJ, Marquez M, Lopez F, Liano H. Double lumen dissecting aneurysms of the internal carotid artery in fibromuscular dysplasia: case report. Stroke 1983; 14:815-8. [PMID: 6658971 DOI: 10.1161/01.str.14.5.815] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
A young man with cerebral infarction, skeletal, cardiac and renal malformations was found to have on angiography a rare lesion involving the cervical left internal carotid artery, formed by the superposition of two arterial lumina. Anti-platelet therapy did not prevent thrombosis of the lesion and reinfarction. Extracranial-intracranial bypass graft was performed, followed by excision of the arterial lesion. Pathological examination revealed fibromuscular dysplasia and dissecting aneurysm. The few reported cases associating fibromuscular dysplasia of the internal carotid artery with dissecting aneurysm are reviewed. Surgical therapy is recommended in such cases when symptomatology progresses. Fibromuscular dysplasia occasionally coexists with somatic malformations, suggesting a congenital origin of this condition.
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