Presse medicale (Paris, France : 1983) · 1997
[Renal fibromuscular dysplasia and cerebral aneurysm in a hypertensive patient with a familial history of cerebral vascular complications].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Persu A, Dubois C, Pirson Y, de Plaen J F
Аннотация
BACKGROUND: The possibility of an association between two vascular anomalies, renal artery dysplasia and cerebral artery aneurysm, merits recognition.
CASE REPORT: 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.
DISCUSSION: 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.
CASE REPORT: 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.
DISCUSSION: 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.