[Ischemic ictus in a young woman with fibromuscular dysplasia of the basilar artery].
Fibromuscular dysplasia (FMD) is a vasculopathy of unknown etiology generally presented in young women and preferentially found in the renal arteries. The second site of frequency of appearance corresponds to the cervical-cephalic arteries with cases of the intracranial vessels being exceptional. We recently had the opportunity to study a female patient of 29 years of age admitted following an acute progressive cerebrovascular event. Cranial computerized tomography (CT) demonstrated multiple ischemic lesions bilaterally affecting the basilar-vertebral territory. Angiographic study established the diagnosis of FMD upon observing "pearl-like" lesions located in the distal part of the basilar artery. Anticoagulant treatment was initiated and the patient evolved satisfactorily although some neurologic deficits persisted. The authors insist on the need to consider FMD as a cause of ictus in young, specially female, patients.
Mateos
V
V
Servicio de Neurología, Hospital General de Asturias, Oviedo.
Colosía
V P
VP
Salas-Puig
J
J
Balboa
O
O
Lahoz
C H
CH
D000328:Adult; D001488:Basilar Artery / Q000000981:diagnostic imaging; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology*; D005260:Female; D005352:Fibromuscular Dysplasia / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D014057:Tomography, X-Ray Computed
Ictus isquémico en mujer joven por displasia fibromuscular de la arteria basilar.