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Sequential Symptomatic Arterial Dissections in Multiple Vascular Beds in a Patient with Fibromuscular Dysplasia
A 60-year-old man was admitted to our hospital because of abdominal pain and disturbed consciousness. Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as...
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| Published in: | Internal Medicine 2018/10/01, Vol.57(19), pp.2885-2887 |
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| container_end_page | 2887 |
| container_issue | 19 |
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| container_title | Internal Medicine |
| container_volume | 57 |
| creator | Sakamoto, Yuki Hiruta, Ryo Iijima, Ayako Sakuma, Yuya Konno, Yutaka |
| description | A 60-year-old man was admitted to our hospital because of abdominal pain and disturbed consciousness. Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as having fibromuscular dysplasia (FMD) based on conventional angiography. Although multiple vascular bed involvement is observed in approximately 40% of FMD patients, reports of sequential symptomatic dissections in various vascular beds are rare. Patients with FMD and dissection require close observation, and hemodynamic stabilization may prevent not only the further development of dissection, but also subsequent dissection of other arteries. |
| doi_str_mv | 10.2169/internalmedicine.0704-17 |
| format | article |
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Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as having fibromuscular dysplasia (FMD) based on conventional angiography. Although multiple vascular bed involvement is observed in approximately 40% of FMD patients, reports of sequential symptomatic dissections in various vascular beds are rare. Patients with FMD and dissection require close observation, and hemodynamic stabilization may prevent not only the further development of dissection, but also subsequent dissection of other arteries.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.0704-17</identifier><identifier>PMID: 29709948</identifier><language>eng</language><publisher>Japan: The Japanese Society of Internal Medicine</publisher><subject>Abdominal Pain - etiology ; Angiography ; Arteries ; Case Report ; Computed tomography ; Dissection ; Dysplasia ; fibromuscular dysplasia ; Fibromuscular Dysplasia - complications ; Fibromuscular Dysplasia - diagnosis ; Hemodynamics ; Humans ; Internal medicine ; ischemic stroke ; Magnetic Resonance Imaging ; Male ; Mesenteric Artery, Superior ; Middle Aged ; multiple vascular beds ; Pain ; superior mesenteric artery ; Tomography, X-Ray Computed ; Veins & arteries ; Vertebrae ; Vertebral Artery Dissection - diagnosis ; Vertebral Artery Dissection - etiology</subject><ispartof>Internal Medicine, 2018/10/01, Vol.57(19), pp.2885-2887</ispartof><rights>2018 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2018</rights><rights>Copyright © 2018 by The Japanese Society of Internal Medicine 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-41d4202101467d76d6ecbc300fb28c7439229cb96b38ad7f7d40eeaee6fd925e3</citedby><cites>FETCH-LOGICAL-c610t-41d4202101467d76d6ecbc300fb28c7439229cb96b38ad7f7d40eeaee6fd925e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207829/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207829/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29709948$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakamoto, Yuki</creatorcontrib><creatorcontrib>Hiruta, Ryo</creatorcontrib><creatorcontrib>Iijima, Ayako</creatorcontrib><creatorcontrib>Sakuma, Yuya</creatorcontrib><creatorcontrib>Konno, Yutaka</creatorcontrib><title>Sequential Symptomatic Arterial Dissections in Multiple Vascular Beds in a Patient with Fibromuscular Dysplasia</title><title>Internal Medicine</title><addtitle>Intern. Med.</addtitle><description>A 60-year-old man was admitted to our hospital because of abdominal pain and disturbed consciousness. Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as having fibromuscular dysplasia (FMD) based on conventional angiography. Although multiple vascular bed involvement is observed in approximately 40% of FMD patients, reports of sequential symptomatic dissections in various vascular beds are rare. Patients with FMD and dissection require close observation, and hemodynamic stabilization may prevent not only the further development of dissection, but also subsequent dissection of other arteries.</description><subject>Abdominal Pain - etiology</subject><subject>Angiography</subject><subject>Arteries</subject><subject>Case Report</subject><subject>Computed tomography</subject><subject>Dissection</subject><subject>Dysplasia</subject><subject>fibromuscular dysplasia</subject><subject>Fibromuscular Dysplasia - complications</subject><subject>Fibromuscular Dysplasia - diagnosis</subject><subject>Hemodynamics</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>ischemic stroke</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mesenteric Artery, Superior</subject><subject>Middle Aged</subject><subject>multiple vascular beds</subject><subject>Pain</subject><subject>superior mesenteric artery</subject><subject>Tomography, X-Ray Computed</subject><subject>Veins & arteries</subject><subject>Vertebrae</subject><subject>Vertebral Artery Dissection - diagnosis</subject><subject>Vertebral Artery Dissection - etiology</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNplkV1rFDEUhoModq3-BQl4483UfG0yuRFqa1WoVKh6GzKZM90smQ-TTGX_vRl3XbTenEDOc97z8SKEKTljVOo3fsgQBxt6aL3zA5wRRURF1SO0olzoSjG-foxWRNO6YiWcoGcpbQnhtdLsKTphWhGtRb1C4y38mGHI3gZ8u-unPPY2e4fPY-mwfF76lMBlPw4J-wF_nkP2UwD83SY3BxvxO2h_Zyz-UiqLFP7p8wZf-SaO_XyALndpCjZ5-xw96WxI8OLwnqJvV--_Xnysrm8-fLo4v66cpCRXgraCEUYJFVK1SrYSXOM4IV3DaqcE14xp12jZ8Nq2qlOtIAAWQHatZmvgp-jtXneam3IlV-aKNpgp-t7GnRmtN_9mBr8xd-O9kYyomuki8PogEMdyoZRN75ODEOwA45wMI5zzWki5oK8eoNtxXuwpFBNSC12MKFS9p1wcU4rQHYehxCyumoeumsVVQ1Upffn3MsfCPzYW4GYPbFO2d3AEbCxeBvhfea0M1Us8tDiSbmOjgYH_Akddw5c</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Sakamoto, Yuki</creator><creator>Hiruta, Ryo</creator><creator>Iijima, Ayako</creator><creator>Sakuma, Yuya</creator><creator>Konno, Yutaka</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181001</creationdate><title>Sequential Symptomatic Arterial Dissections in Multiple Vascular Beds in a Patient with Fibromuscular Dysplasia</title><author>Sakamoto, Yuki ; Hiruta, Ryo ; Iijima, Ayako ; Sakuma, Yuya ; Konno, Yutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c610t-41d4202101467d76d6ecbc300fb28c7439229cb96b38ad7f7d40eeaee6fd925e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal Pain - etiology</topic><topic>Angiography</topic><topic>Arteries</topic><topic>Case Report</topic><topic>Computed tomography</topic><topic>Dissection</topic><topic>Dysplasia</topic><topic>fibromuscular dysplasia</topic><topic>Fibromuscular Dysplasia - complications</topic><topic>Fibromuscular Dysplasia - diagnosis</topic><topic>Hemodynamics</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>ischemic stroke</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mesenteric Artery, Superior</topic><topic>Middle Aged</topic><topic>multiple vascular beds</topic><topic>Pain</topic><topic>superior mesenteric artery</topic><topic>Tomography, X-Ray Computed</topic><topic>Veins & arteries</topic><topic>Vertebrae</topic><topic>Vertebral Artery Dissection - diagnosis</topic><topic>Vertebral Artery Dissection - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakamoto, Yuki</creatorcontrib><creatorcontrib>Hiruta, Ryo</creatorcontrib><creatorcontrib>Iijima, Ayako</creatorcontrib><creatorcontrib>Sakuma, Yuya</creatorcontrib><creatorcontrib>Konno, Yutaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakamoto, Yuki</au><au>Hiruta, Ryo</au><au>Iijima, Ayako</au><au>Sakuma, Yuya</au><au>Konno, Yutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sequential Symptomatic Arterial Dissections in Multiple Vascular Beds in a Patient with Fibromuscular Dysplasia</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>57</volume><issue>19</issue><spage>2885</spage><epage>2887</epage><pages>2885-2887</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 60-year-old man was admitted to our hospital because of abdominal pain and disturbed consciousness. Head magnetic resonance imaging showed right vertebral artery dissection and abdominal enhanced computed tomography showed dissection of the superior mesenteric artery. The patient was diagnosed as having fibromuscular dysplasia (FMD) based on conventional angiography. Although multiple vascular bed involvement is observed in approximately 40% of FMD patients, reports of sequential symptomatic dissections in various vascular beds are rare. Patients with FMD and dissection require close observation, and hemodynamic stabilization may prevent not only the further development of dissection, but also subsequent dissection of other arteries.</abstract><cop>Japan</cop><pub>The Japanese Society of Internal Medicine</pub><pmid>29709948</pmid><doi>10.2169/internalmedicine.0704-17</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Internal Medicine, 2018/10/01, Vol.57(19), pp.2885-2887 |
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| source | PubMed Central |
| subjects | Abdominal Pain - etiology Angiography Arteries Case Report Computed tomography Dissection Dysplasia fibromuscular dysplasia Fibromuscular Dysplasia - complications Fibromuscular Dysplasia - diagnosis Hemodynamics Humans Internal medicine ischemic stroke Magnetic Resonance Imaging Male Mesenteric Artery, Superior Middle Aged multiple vascular beds Pain superior mesenteric artery Tomography, X-Ray Computed Veins & arteries Vertebrae Vertebral Artery Dissection - diagnosis Vertebral Artery Dissection - etiology |
| title | Sequential Symptomatic Arterial Dissections in Multiple Vascular Beds in a Patient with Fibromuscular Dysplasia |
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