[Incomplete regressive obstruction of the internal carotid artery in a female patient with fibromuscular dysplasia].
The authors report on the case of a 48-year-old woman, with no history of cardiovascular disease, presenting with a progressive right cerebral deficiency syndrome predominating in the parietal region. X-ray, arteriography and CT scan findings led to the diagnosis of right middle cerebral artery ischemic stroke, in the proximal territory, due to a practically complete occlusion of the right internal carotid artery. The patient recovered and a right carotid arteriography performed 8 months after the initial one showed repermeation of the carotid artery, as well as evidence of fibromuscular dysplasia (FMD). The authors then reviewed the literature dealing with cervico-cephalic FMD and concluded that FMD only exceptionally leads to arterial occlusion, whether by arterial dissection, intimal hyperplasia or thrombosis. This case is remarkable by its favorable outcome: the thrombus, which was unquestionably responsible for the clinical picture, dissolved spontaneously.
D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging*; D002343:Carotid Artery, Internal; D002561:Cerebrovascular Disorders / Q000175:diagnosis; D005260:Female; D005352:Fibromuscular Dysplasia / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011859:Radiography
Obstruction incomplète de la carotide interne d'évolution régressive chez une malade atteinte de dysplasie fibro-musculaire.