The Mount Sinai Journal of Medicine

 

Volume 72 Number 6
November 2005
back to contents

The Neurological Implications of Fibromuscular Dysplasia

418-420
Lloyd A. Dayes, M.D., and Nalini Gardiner, M.A., Ph.D.

From the Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, CA.

Address all correspondence to Lloyd A. Dayes, M.D., Division of Neurosurgery, University Medical Center, 11234 Anderson Street, Loma Linda, CA 92354.

Accepted for publication March 2005.

ABSTRACT

Fibromuscular dysplasia is a noninflammatory segmental disease of the arteries, of unknown origin. While the renal arteries are most commonly affected, other larger vessels, including the carotid and vertebrals, may be involved. Fibromuscular dysplasia has been implicated as a cause of stroke in adults and (on rare occasions) in children. The classic angiographic presentation is that of a string of beads. The condition frequently requires surgical or interventional radiological treatment. These approaches most commonly lead to long-term neurological improvement. Five cases with typical angiographic appearance are presented.

KEY WORDS

Cerebrovascular accident, hypertension, fibromuscular dysplasia.
Mount Sinai School of Medicine MSSM Home Back Issues | Indexes | Search | Journal Home [title]