Cephalic Arterial Fibromuscular Dysplasia

Ow, Houser; Hl, Baker; Ba, Sandok; Ke, Holley

doi:10.1148/101.3.605

Cited by 79 publications

(34 citation statements)

References 12 publications

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“…They arc the basis of some cerebral ischaemic attacks [24] but were only present in 0.9% of our angio grams performed for these conditions. They have been associated with dissecting aneu rysm spontaneous carotico-cavcrnous fistula [26] and vascular hypertension which should suggest renal artery involvement and there is a well-recorded relationship to berry aneu rysm [8,9]; also noted in our series.…”

Section: Discussionsupporting

confidence: 72%

Cerebral Angiography in Vasculitis Affecting the Nervous System

Kendall¹

1984

Eur Neurol

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Of 199 patients with clinico-laboratory evidence of vasculitis, 42 were submitted to cerebral angiography; 35 angiograms were abnormal, but only 21 were characteristic of the particular disease process. A pattern consistent with vasculitis diagnosed in 19 angiograms, was due to neoplasm in 4 and neurofibromatosis, DXT and amphetamines each in 1 case. Moya-Moya type collaterals shown in 20 angiograms were due to the idiopathic disease in 10 but due to non-inflammatory pathologies in 7. Fibromuscular dysplasia shown in 28 angiograms was an incidental finding in 20 of these. Of 56 cerebral angiograms for ischaemic stroke in patients under 15 years old, 17 were normal and only 8 vascular lesions were likely to have been of inflammatory origin. In routine clinical practice cerebral angiography, though essential in the management of mycotic aneurysm and in the diagnosis of Moya-Moya disease isolated vasculitis and fibromuscular dysplasia, plays only a limited role in the diagnosis of other types of vasculitis.

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Section: Discussionsupporting

confidence: 72%

Cerebral Angiography in Vasculitis Affecting the Nervous System

Kendall¹

1984

Eur Neurol

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“…18 FMD of the intracerebral vessels is rare. While none of our cases was biopsy-proven, one was associated with typical lesions in the extracranial internal carotid arteries, one had typical FMD of the renal and superior mesenteric arteries and the other two demonstrated classical angiographic findings of FMD.…”

Section: Discussionmentioning

confidence: 99%

Angiographic spectrum of cervical and intracranial fibromuscular dysplasia.

Osborn¹,

Anderson²

1977

Stroke

208

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SUMMARY Cephalocervical or intracranial fibromuscular dysplasia (FMO) can be identified by its characteristic angiographic appearance. Most of these lesions occur adjacent to the Cl-2 interspace, characteristically sparing the origins and proximal segments of the major extracranial vessels. Approximately 65% of our patients had bilateral involvement of the cervical internal carotid arteries. Thirty percent were associated with one or more intracranial aneurysms. The vertebral arteries were involved in 10% of the cases. Twenty-four of 25 cases were associated with symptoms of either subarachnoid hemorrhage or focal cerebral ischemia.

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“…16 Cerebrovascular FMD has been noted not only in the internal carotid arteries but also in the vertebral arteries and less commonly in the middle cerebral arteries and external carotid arteries and its branches. 17 In 1974 and 1975, Stanley and colleagues [18][19][20] published 3 landmark articles on extracranial internal carotid and vertebral artery FMD and the cause, classification, and surgical treatment of patients with renal artery FMD.…”

mentioning

confidence: 99%