The Syndrome of Intracranial Aneurysm Associated with Fibromuscular Hyperplasia of the Renal Arteries

Belber, Carl J.; Hoffman, Richard B.

doi:10.3171/jns.1968.28.6.0556

Cited by 36 publications

(11 citation statements)

References 8 publications

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“…However, while most reported intracranial aneurysms concomitant with renal artery FMD are single [5,6,7,8,9,10], the affected vessels in our case were the anterior communicating artery, right posterior cerebral artery, and the right basilar artery/superior cerebellar artery junction. To the best of our knowledge, multiple intracranial anterior and posterior circulation aneurysms together with coexisting renal artery FMD (without cervicocephalic FMD) have not been reported.…”

Section: Discussionmentioning

confidence: 85%

“…Alone, these observations may be coincidental and simply related to chronic hypertension with morphologically weakened cerebral vessels. Previous reports have revealed the relationship between renal artery FMD and intracranial aneurysms [5,6,7,8,9,10]. While some intracranial aneurysms can develop or rupture after angioplasty or bypass surgery of the renal artery FMD [5, 9, 10], other aneurysms disappear after angioplasty [8].…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports have revealed the relationship between renal artery FMD and intracranial aneurysms [5,6,7,8,9,10]. While some intracranial aneurysms can develop or rupture after angioplasty or bypass surgery of the renal artery FMD [5, 9, 10], other aneurysms disappear after angioplasty [8]. These reports support a hypothesis that systemic hemodynamics affect structural changes in an existing intracranial aneurysm or vulnerable cerebral vessels via renal artery FMD, and that this can affect the formation or rupture of the intracranial aneurysm in cases without cervicocephalic FMD.…”

Section: Discussionmentioning

confidence: 99%

“…There are 7 previously published cases of a coexisting renal artery FMD and ruptured cerebral aneurysm in English medical literature [5,6,7,8,9,10]. All cases involved single aneurysms, and, in 2 cases, the patients were treated with direct clipping [5, 9].…”

Section: Introductionmentioning

confidence: 99%

“…All cases involved single aneurysms, and, in 2 cases, the patients were treated with direct clipping [5, 9]. …”

Section: Introductionmentioning

confidence: 99%

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Multiple Intracranial Aneurysms with Intraventricular Hemorrhage in a Child with Unilateral Fibromuscular Dysplasia of the Renal Artery

Park

Kang²,

Lim³

et al. 2008

Pediatr Neurosurg

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A rare case involving multiple intracranial aneurysms with intraventricular hemorrhage (IVH) in a child, accompanied by unilateral fibromuscular dysplasia (FMD) of the renal artery, is reported. A 12-year-old girl presented with secondary hypertension and fourth-ventricle IVH. Cerebral angiography showed multiple aneurysms in the anterior communicating artery, right posterior cerebral artery, and right superior cerebellar artery. Abdominal angiography revealed marked stenosis and dilatation of the left renal artery. Coil embolization of the intracranial aneurysms was successfully performed. Then, a left nephrectomy and autotransplantation were performed. At the time of discharge, she was in an almost normal neurological condition. The association between renal artery FMD and aneurysmal rupture is extremely rare. This case is the first report of multiple intracranial aneurysms with IVH treated successfully with coils in a child concomitant with FMD of the renal artery.

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