FIBROMUSCULAR DYSPLASIA - A CASE-REPORT WITH MULTIVESSEL VASCULAR INVOLVEMENT

A case of multivessel fibromuscular dysplasia involving the cervico-ce phalic arteries, the right renal artery and the iliac arteries is repo rted. It was associated with reversible bilateral internal carotid art eries and vertebral arteries dissection, left thalamic infarct, right hemorrhagic cerebellar infarct, renovascular hypertension and intermit tent claudication of the right lower limb. This report indicates that fibromuscolar dysplasia is a systemic angiopathy. Renovascular hyperte nsion may foster the appearance of complication such as dissection of the arteries affected by fibromuscolar dysplasia. In the case investig ated the dissection of cervicocephalic arteries was followed by sponta neous healing and a favourable neurological outcome whereas at the ili ac arteries a rapid deterioration was observed.