Document Detail

A very unusual case of fibromuscular dysplasia with multiple aneurysms of the vertebral artery and posterior inferior cerebellar artery.
MedLine Citation:
PMID:  19035727     Owner:  NLM     Status:  MEDLINE    
Fibromuscular dysplasia (FMD) is a noninflammatory and nonatheromatous arteriopathy that commonly affects the renal and cervical internal carotid arteries and sometimes the vertebral arteries (VAs). The association of FMD with intracranial aneurysms is widely known. The authors describe a rare case of FMD presenting with subarachnoid hemorrhage due to the rupture of 1 of 10 aneurysms located in the extra- and intracranial vertebral and posterior inferior cerebellar arteries. The FMD was treated successfully using flow reversal therapy, consisting of proximal occlusion of the VA with Guglielmi detachable coils, and was diagnosed histopathologically using a biopsy specimen of the distal superficial temporal artery. Originally FMD may be caused by a fragile arterial wall that may progress to the formation of an aneurysm due to hemodynamic stress. For this reason, FMD may be treatable by reducing this hemodynamic stress.
Hidehito Kimura; Kohkichi Hosoda; Yoshie Hara; Eiji Kohmura
Related Documents :
451837 - Trigeminal neuralgia: compression of the trigeminal nerve by an elongated and dilated b...
6501587 - Traumatic subarachnoid haemorrhage: an alternative source.
23160437 - Anti-stiffness effect of apocynin in deoxycorticosterone acetate-salt hypertensive rats...
8235827 - The pial ligaments of the anterior spinal artery and their stretch receptors. a spinal ...
18027057 - Treatment of high output cardiac failure by flow-adapted hepatic artery banding (fhab) ...
21696657 - Myxomatous aneurysms: a case report and literature review.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  109     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1108-12     Citation Subset:  AIM; IM    
Department of Neurosurgery, Hyogo Brain and Heart Center at Himeji, Kobe, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aneurysm / diagnosis*,  etiology*,  physiopathology
Cerebral Arteries / physiopathology*
Fibromuscular Dysplasia / complications*,  diagnosis*,  physiopathology
Subarachnoid Hemorrhage / diagnosis,  etiology,  physiopathology
Vertebral Artery / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A case of multiple pial arteriovenous fistulas associated with dural arteriovenous fistula.
Next Document:  Intravascular ultrasonography-guided stent angioplasty of an extracranial vertebral artery dissectio...