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Recognition of Cerebrovascular Fibromuscular Hyperplasia

Recognition of Cerebrovascular Fibromuscular Hyperplasia Abstract Widespread utilization of angiography has allowed discovery of fibromuscular hyperplasia affecting medium-sized arteries throughout the body. Such arterial dysplasia of the carotid and vertebral arteries is rare. However, as experience accumulates, it is becoming increasingly evident that this may be an important entity in these locations. Its significance derives from the fact that it may produce cerebral ischemia or infarction in persons of any age. The fact that this condition is frequently associated with intracerebral aneurysms and with fibromuscular hyperplasia of the renal artery suggests that it is a generalized arterial abnormality of common etiology. This communication details the clinical aspects of five patients with fibromuscular hyperplasia of the carotid and vertebral arteries. In one instance, this condition affected the vertebral arteries, in three, the carotids alone, and one, both the carotids and the vertebrals. The object of this presentation is to emphasize the diverse symptomatology, the association with other References 1. Leadbetter, W.F., and Burkland, CE.: CE.: Hypertension in Unilateral Renal Disease , J Urol 39:611-626 ( (June) ) 1938. 2. McCormack, L.J.; Hazard, J.B.; and Poutasse, E.F.: Obstructive Lesions of the Renal Artery Associated With Remediable Hypertension , Amer J Path 34:582-590 ( (May) -June) 1958. 3. Hunt, J.C., et al: Idiopathic Fibrous and Fibromuscular Stenosis of Renal Arteries Associated With Hypertension , Proc Staff Meet Mayo Clinic 37:181-216 ( (March) ) 1962. 4. Connet, M.C., and Lansche, J.M.: Fibromuscular Hyperplasia of the Internal Carotid Artery , Ann Surg 162:59-62 ( (July) ) 1965.Crossref 5. Garrett, H.E.; Hodosh, S.; and DeBakey, M.E.: Fibromuscular Hyperplasia of the Left Axillary Artery , Arch Surg 94:737-738 ( (May) ) 1967.Crossref 6. Hill, L.D., and Antonius, J.I.: Arterial Dysplasia , Arch Surg 90:585-595 ( (April) ) 1965.Crossref 7. Najafi, H.: Fibromuscular Hyperplasia of the External Iliac Arteries , Arch Surg 92:395-396 ( (March) ) 1966.Crossref 8. Palubinskas, A.J., and Ripley, H.R.: Fibromuscular Hyperplasia in Extrarenal Arteries , Radiology 82:451-455 ( (March) ) 1964.Crossref 9. Patchefsky, A.S., and Paplanus, S.H.: Fibromuscular Hyperplasia and Dissecting Aneurysm of the Hepatic Artery , Arch Path 83:141-144 ( (Feb) ) 1967. 10. Ripley, H.R., and Levin, S.M.: Abdominal Angina Associated With Fibromuscular Hyperplasia of the Celiac and Superior Mesenteric Arteries , Angiology 17:297-301 ( (May) ) 1966.Crossref 11. DeBakey, M.D., et al: Lesions of the Renal Artery , Amer J Surg 107:84-96 ( (Jan) ) 1964.Crossref 12. Palubinskas, A.J.; Perloff, D.; and Wylie, E.J.: Curable Hypertension Due to Renal Artery Lesions , Radiol Clin 33:207-216, 1964. 13. Wellington, J.S.: Fibromuscular Hyperplasia of Renal Arteries in Hypertension , Amer J Path 43:955-967 ( (Dec) ) 1963. 14. Wylie, E.J.; Binkley, F.M.; and Palubinskas, A.J.: Extrarenal Fibromuscular Hyperplasia , Amer J Surg 112:149-155 ( (Aug) ) 1966.Crossref 15. Wylie, E.J., and Wellington, J.S.: Hypertension Caused by Fibromuscular Hyperplasia of Renal Arteries , Amer J Surg 100:183-193 ( (Aug) ) 1960.Crossref 16. Palubinskas, A.J.; Perloff, D.; and Newton, T.H.: Fibromuscular Hyperplasia: An Arterial Dysplasia of Increasing Clinical Importance , Amer J Roentgen 98:907-913 ( (Dec) ) 1966.Crossref 17. Ehrenfield, W.K.; Stoney, R.J.; and Wylie, E.J.: Fibromuscular Hyperplasia of the Internal Carotid Artery , Arch Surg 95:284-286 ( (Aug) ) 1967.Crossref 18. Rainer, W.G., et al: Fibromuscular Hyperplasia of the Carotid Artery Causing Positional Cerebral Ischemia , Ann Surg 167:444-446 ( (March) ) 1968.Crossref 19. Morris, G.C.; Lechter, A.; and DeBakey, M.E.: Surgical Treatment of Fibromuscular Disease of the Carotid Arteries , Arch Surg 96:636-643 ( (April) ) 1968.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Recognition of Cerebrovascular Fibromuscular Hyperplasia

Archives of Surgery , Volume 98 (3) – Mar 1, 1969

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References (21)

Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1969.01340090108019
Publisher site
See Article on Publisher Site

Abstract

Abstract Widespread utilization of angiography has allowed discovery of fibromuscular hyperplasia affecting medium-sized arteries throughout the body. Such arterial dysplasia of the carotid and vertebral arteries is rare. However, as experience accumulates, it is becoming increasingly evident that this may be an important entity in these locations. Its significance derives from the fact that it may produce cerebral ischemia or infarction in persons of any age. The fact that this condition is frequently associated with intracerebral aneurysms and with fibromuscular hyperplasia of the renal artery suggests that it is a generalized arterial abnormality of common etiology. This communication details the clinical aspects of five patients with fibromuscular hyperplasia of the carotid and vertebral arteries. In one instance, this condition affected the vertebral arteries, in three, the carotids alone, and one, both the carotids and the vertebrals. The object of this presentation is to emphasize the diverse symptomatology, the association with other References 1. Leadbetter, W.F., and Burkland, CE.: CE.: Hypertension in Unilateral Renal Disease , J Urol 39:611-626 ( (June) ) 1938. 2. McCormack, L.J.; Hazard, J.B.; and Poutasse, E.F.: Obstructive Lesions of the Renal Artery Associated With Remediable Hypertension , Amer J Path 34:582-590 ( (May) -June) 1958. 3. Hunt, J.C., et al: Idiopathic Fibrous and Fibromuscular Stenosis of Renal Arteries Associated With Hypertension , Proc Staff Meet Mayo Clinic 37:181-216 ( (March) ) 1962. 4. Connet, M.C., and Lansche, J.M.: Fibromuscular Hyperplasia of the Internal Carotid Artery , Ann Surg 162:59-62 ( (July) ) 1965.Crossref 5. Garrett, H.E.; Hodosh, S.; and DeBakey, M.E.: Fibromuscular Hyperplasia of the Left Axillary Artery , Arch Surg 94:737-738 ( (May) ) 1967.Crossref 6. Hill, L.D., and Antonius, J.I.: Arterial Dysplasia , Arch Surg 90:585-595 ( (April) ) 1965.Crossref 7. Najafi, H.: Fibromuscular Hyperplasia of the External Iliac Arteries , Arch Surg 92:395-396 ( (March) ) 1966.Crossref 8. Palubinskas, A.J., and Ripley, H.R.: Fibromuscular Hyperplasia in Extrarenal Arteries , Radiology 82:451-455 ( (March) ) 1964.Crossref 9. Patchefsky, A.S., and Paplanus, S.H.: Fibromuscular Hyperplasia and Dissecting Aneurysm of the Hepatic Artery , Arch Path 83:141-144 ( (Feb) ) 1967. 10. Ripley, H.R., and Levin, S.M.: Abdominal Angina Associated With Fibromuscular Hyperplasia of the Celiac and Superior Mesenteric Arteries , Angiology 17:297-301 ( (May) ) 1966.Crossref 11. DeBakey, M.D., et al: Lesions of the Renal Artery , Amer J Surg 107:84-96 ( (Jan) ) 1964.Crossref 12. Palubinskas, A.J.; Perloff, D.; and Wylie, E.J.: Curable Hypertension Due to Renal Artery Lesions , Radiol Clin 33:207-216, 1964. 13. Wellington, J.S.: Fibromuscular Hyperplasia of Renal Arteries in Hypertension , Amer J Path 43:955-967 ( (Dec) ) 1963. 14. Wylie, E.J.; Binkley, F.M.; and Palubinskas, A.J.: Extrarenal Fibromuscular Hyperplasia , Amer J Surg 112:149-155 ( (Aug) ) 1966.Crossref 15. Wylie, E.J., and Wellington, J.S.: Hypertension Caused by Fibromuscular Hyperplasia of Renal Arteries , Amer J Surg 100:183-193 ( (Aug) ) 1960.Crossref 16. Palubinskas, A.J.; Perloff, D.; and Newton, T.H.: Fibromuscular Hyperplasia: An Arterial Dysplasia of Increasing Clinical Importance , Amer J Roentgen 98:907-913 ( (Dec) ) 1966.Crossref 17. Ehrenfield, W.K.; Stoney, R.J.; and Wylie, E.J.: Fibromuscular Hyperplasia of the Internal Carotid Artery , Arch Surg 95:284-286 ( (Aug) ) 1967.Crossref 18. Rainer, W.G., et al: Fibromuscular Hyperplasia of the Carotid Artery Causing Positional Cerebral Ischemia , Ann Surg 167:444-446 ( (March) ) 1968.Crossref 19. Morris, G.C.; Lechter, A.; and DeBakey, M.E.: Surgical Treatment of Fibromuscular Disease of the Carotid Arteries , Arch Surg 96:636-643 ( (April) ) 1968.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1969

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