[Renal fibromuscular dysplasia and cerebral aneurysm in a hypertensive patient with a familial history of cerebral vascular complications].
BACKGROUND
The possibility of an association between two vascular anomalies, renal artery dysplasia and cerebral artery aneurysm, merits recognition.


METHODS
We report the case of a 63 year old woman who was found to have fibromuscular dysplasia affecting the right renal artery while being investigated for systemic hypertension. Given a family history of cerebrovascular accident occurring before the age of 50, a cerebral angiogram was performed which demonstrated a saccular aneurysm of the middle cerebral artery measuring 6 mm in diameter.


CONCLUSIONS
The association of these two anomalies could result from a familial arterial fibromuscular dysplasia. There are practical implications, notably the risk of aneurysm rupture and the role of hypertension.
Persu
A
A
Service de Néphrologie, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Bruxelles, Belgique.
Dubois
C
C
Pirson
Y
Y
de Plaen
J F
JF
D002561:Cerebrovascular Disorders / Q000209:etiology / Q000235:genetics*; D005260:Female; D005352:Fibromuscular Dysplasia / Q000209:etiology* / Q000235:genetics; D006801:Humans; D006973:Hypertension / Q000150:complications*; D002532:Intracranial Aneurysm / Q000209:etiology / Q000235:genetics; D008875:Middle Aged; D010375:Pedigree; D012077:Renal Artery