Fibromuscular Dysplasia: A Rare Case with Multiple Vascular Beds Involvement

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Siew-Hong Yiek1

  • 1Department of Neurosurgery, Sarawak General Hospital, Sarawak, Malaysia.

Asian Journal of Neurosurgery
|January 24, 2022
PubMed

Insights

Fibromuscular dysplasia (FMD) is a rare vascular condition affecting arteries. This case highlights a unique instance of FMD impacting multiple, diverse arterial locations simultaneously.

Area of Science:

  • Vascular Medicine
  • Radiology
  • Genetics

Background:

  • Fibromuscular dysplasia (FMD) is an idiopathic, non-inflammatory vascular disease affecting small to medium arteries.
  • It commonly affects cervicocranial and renal arteries, often presenting as renovascular hypertension in young women.

Observation:

  • This case presents a rare manifestation of FMD involving multiple arterial beds.
  • The affected arteries included vertebral, coronary, hepatic, and lumbar arteries.
  • This occurred concurrently with bilateral renal and cervicocranial artery involvement.

Findings:

  • Demonstrates an exceptionally rare, multi-site arterial involvement pattern in FMD.
  • Challenges the typical presentation of FMD by affecting diverse vascular territories.
  • Highlights the potential for widespread arterial disease in FMD.

Implications:

  • Suggests a need for broader vascular screening in FMD patients.
  • May inform future research into FMD pathogenesis and genetic predispositions.
  • Emphasizes the importance of considering FMD in unexplained multi-arterial pathologies.
Keywords:
Acute coronary syndromefibromuscular dysplasiaintracranial aneurysmmultiple vascular beds

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