Systemic fibromuscular dysplasia. Supra aortic and renal artery involvement

We report a 39 years old male presenting with an intense hemicrania pain in the tract of the carotid artery and Claude Bernard Horner syndrome. The patient had also a high blood pressure. Magnetic resonance imaging demonstrated a left carotid artery fibrodysplastic disease. Conventional angiography...

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Bibliographic Details
Published in:Revista medíca de Chile 1999-02, Vol.127 (2), p.206
Main Authors: Bravo, M, Ferrer, S, Otipka, N
Format: Article
Language:Spanish
Subjects:
Adult
Aorta - pathology
Carotid Stenosis - complications
Carotid Stenosis - diagnosis
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnosis
Fibromuscular Dysplasia - surgery
Humans
Male
Migraine Disorders - diagnosis
Migraine Disorders - etiology
Renal Artery Obstruction - diagnosis
Renal Artery Obstruction - etiology
Renal Artery Obstruction - surgery
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Summary:We report a 39 years old male presenting with an intense hemicrania pain in the tract of the carotid artery and Claude Bernard Horner syndrome. The patient had also a high blood pressure. Magnetic resonance imaging demonstrated a left carotid artery fibrodysplastic disease. Conventional angiography of 4 cerebral vessels showed a dissection of the left carotid artery and fibromuscular dysplasia of the left vertebral artery. Renal angiography showed a stenosis and occlusion of renal artery with radiological exclusion of right kidney. On the left side there was a stenosis and occlusion of segmental branches. The diagnostic importance of Claude Bernard Horner syndrome and the need to study renal artery involvement when carotid dissection is accompanied with high blood pressure, is highlighted.
ISSN:0034-9887