CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(01): 105-107
DOI: 10.1055/s-0042-1749066
Case Report

Fibromuscular Dysplasia: A Rare Case with Multiple Vascular Beds Involvement

Siew-Hong Yiek
1   Department of Neurosurgery, Sarawak General Hospital, Sarawak, Malaysia
› Author Affiliations

Abstract

Fibromuscular dysplasia (FMD) is an idiopathic, noninflammatory, and nonatherosclerotic vascular disease of small to medium-sized arteries. It can occur in almost all arteries and most commonly involving the cervicocranial and renal arteries. FMD is commonly presents as renovascular hypertension and affects mostly young ladies. However, this case demonstrates a casuistically rare form of multiple arterial beds involvement at different sites, that is, vertebral, coronary, hepatic, and lumbar arteries, with the conjunction of both bilateral renal and cervicocranial arteries.



Publication History

Article published online:
06 June 2022

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  • References

  • 1 Olin JW, Froehlich J, Gu X. et al. The United States Registry for Fibromuscular Dysplasia: results in the first 447 patients. Circulation 2012; 125 (25) 3182-3190
  • 2 Plouin PF, Baguet JP, Thony F. et al; ARCADIA Investigators. High prevalence of multiple arterial bed lesions in patients with fibromuscular dysplasia: the ARCADIA Registry (Assessment of Renal and Cervical Artery Dysplasia). Hypertension 2017; 70 (03) 652-658
  • 3 Olin JW, Gornik HL, Bacharach JM. et al; American Heart Association Council on Peripheral Vascular Disease, American Heart Association Council on Clinical Cardiology, American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, American Heart Association Council on Cardiovascular Disease in the Young, American Heart Association Council on Cardiovascular Radiology and Intervention, American Heart Association Council on Epidemiology and Prevention, American Heart Association Council on Functional Genomics and Translational Biology, American Heart Association Council for High Blood Pressure Research, American Heart Association Council on the Kidney in Cardiovascular Disease, American Heart Association Stroke Council. Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association. Circulation 2014; 129 (09) 1048-1078
  • 4 Harrison Jr EG, McCormack LJ. Pathologic classification of renal arterial disease in renovascular hypertension. Mayo Clin Proc 1971; 46 (03) 161-167
  • 5 Persu A, Touzé E, Mousseaux E, Barral X, Joffre F, Plouin PF. Diagnosis and management of fibromuscular dysplasia: an expert consensus. Eur J Clin Invest 2012; 42 (03) 338-347
  • 6 Gornik HL, Persu A, Adlam D. et al. First International Consensus on the diagnosis and management of fibromuscular dysplasia. Vasc Med 2019; 24 (02) 164-189
  • 7 Touzé E, Oppenheim C, Trystram D. et al. Fibromuscular dysplasia of cervical and intracranial arteries. Int J Stroke 2010; 5 (04) 296-305
  • 8 Morita A, Kirino T, Hashi K. et al; UCAS Japan Investigators. The natural course of unruptured cerebral aneurysms in a Japanese cohort. N Engl J Med 2012; 366 (26) 2474-2482