PMID- 28431954
OWN - NLM
STAT- MEDLINE
DCOM- 20180319
LR  - 20181202
IS  - 1532-2653 (Electronic)
IS  - 0967-5868 (Linking)
VI  - 43
DP  - 2017 Sep
TI  - Isolated intracranial fibromuscular dysplasia of the posterior cerebral artery.
PG  - 119-121
LID - S0967-5868(17)30105-4 [pii]
LID - 10.1016/j.jocn.2017.04.003 [doi]
AB  - Fibromuscular dysplasia (FMD) is a nonatherosclerotic, noninflammatory arterial 
      disease that most commonly affects the renal and internal carotid arteries, but 
      intracranial FMD is very rare. We report a patient with FMD involving the 
      posterior cerebral arteries (PCAs). A 24year old female was presented with a 4day 
      history of right homonymous hemianopsia with throbbing headache in the left 
      temporo-occipital area. The brain magnetic resonance imaging (MRI) revealed an 
      acute ischemic stroke in the left PCA territory, while the Time of Flight (TOF) 
      magnetic resonance angiogram (MRA) showed segmental luminal irregularities in the 
      left proximal PCA. The conventional angiogram revealed the "string of beads" 
      appearance, a characteristic that is pathognomonic for FMD. The patient's 
      inhospital clinical course was stable, while there was no recurrence of stroke. 
      This is the second report of FMD of the PCA. Notwithstanding incredibly rare 
      incidences of isolated intracranial FMD and nonspecific findings of MRA, such a 
      pathophysiology should be considered as the cause for a stroke in young patients, 
      especially those with no cardiovascular risk factor.
CI  - Copyright (c) 2017 Elsevier Ltd. All rights reserved.
FAU - Yeo, Min-Ju
AU  - Yeo MJ
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Jeon, Ho-Yeong
AU  - Jeon HY
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Cha, Min-Ju
AU  - Cha MJ
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Jang, Hye-Yeon
AU  - Jang HY
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Lee, Sang-Gil
AU  - Lee SG
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Seon Kim, Ji
AU  - Seon Kim J
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Lee, Sung-Hyun
AU  - Lee SH
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Lee, Sang-Soo
AU  - Lee SS
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea.
FAU - Shin, Dong-Ick
AU  - Shin DI
AD  - Department of Neurology, Chungbuk National University Hospital, Cheongju, 
      Republic of Korea. Electronic address: mdmju@naver.com.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170418
PL  - Scotland
TA  - J Clin Neurosci
JT  - Journal of clinical neuroscience : official journal of the Neurosurgical Society 
      of Australasia
JID - 9433352
SB  - IM
MH  - Female
MH  - *Fibromuscular Dysplasia/complications/diagnosis/diagnostic imaging/pathology
MH  - Humans
MH  - Posterior Cerebral Artery/*pathology
MH  - Stroke/complications/diagnostic imaging
MH  - Young Adult
OTO - NOTNLM
OT  - Fibromuscular dysplasia
OT  - Intracranial
OT  - Posterior cerebral artery
EDAT- 2017/04/23 06:00
MHDA- 2018/03/20 06:00
CRDT- 2017/04/23 06:00
PHST- 2017/01/20 00:00 [received]
PHST- 2017/04/03 00:00 [accepted]
PHST- 2017/04/23 06:00 [pubmed]
PHST- 2018/03/20 06:00 [medline]
PHST- 2017/04/23 06:00 [entrez]
AID - S0967-5868(17)30105-4 [pii]
AID - 10.1016/j.jocn.2017.04.003 [doi]
PST - ppublish
SO  - J Clin Neurosci. 2017 Sep;43:119-121. doi: 10.1016/j.jocn.2017.04.003. Epub 2017 
      Apr 18.