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Carotid Artery Fibromuscular Dysplasia in Neck
H. Ric Harnsberger, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Fibromuscular dysplasia (FMD)
            • Synonyms

              • Fibromuscular hyperplasia, fibromuscular fibroplasia
            • Definitions

              • Arterial disease of unknown etiology affecting medium & large arteries
                • Arteriopathy with dysplastic arterial wall with overgrowth of smooth muscle & fibrous tissue

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Angiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Persu A et al: European consensus on the diagnosis and management of fibromuscular dysplasia. J Hypertens. 32(7):1367-78, 2014
                                          2. Olin JW et al: The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation. 125(25):3182-90, 2012
                                          3. Cohen JE et al: Petrous carotid artery pseudoaneurysm in bilateral carotid fibromuscular dysplasia: treatment by means of self-expanding covered stent. Surg Neurol. 68(2):216-20; discussion 220, 2007
                                          4. de Bray JM et al: Fibromuscular dysplasia may herald symptomatic recurrence of cervical artery dissection. Cerebrovasc Dis. 23(5-6):448-52, 2007
                                          5. Nerantzis CE et al: Post-mortem angiographic and histologic findings of coronary artery fibromuscular dysplasia. Int J Cardiol. 122(3):e32-5, 2007
                                          6. Perdu J et al: Inheritance of arterial lesions in renal fibromuscular dysplasia. J Hum Hypertens. 21(5):393-400, 2007
                                          7. Beregi JP et al: Fibromuscular dysplasia of the renal arteries: comparison of helical CT angiography and arteriography. AJR Am J Roentgenol. 172(1):27-34, 1999
                                          8. Van Damme H et al: Fibromuscular dysplasia of the internal carotid artery. Personal experience with 13 cases and literature review. Acta Chir Belg. 99(4):163-8, 1999
                                          9. Wong CY et al: Cerebral perfusion and vascular reserve in fibromuscular dysplasia of the internal carotid artery. J Stroke Cerebrovasc Dis. 7(5):364-6, 1998
                                          10. Stewart MT et al: The natural history of carotid fibromuscular dysplasia. J Vasc Surg. 3(2):305-10, 1986
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Fibromuscular dysplasia (FMD)
                                                    • Synonyms

                                                      • Fibromuscular hyperplasia, fibromuscular fibroplasia
                                                    • Definitions

                                                      • Arterial disease of unknown etiology affecting medium & large arteries
                                                        • Arteriopathy with dysplastic arterial wall with overgrowth of smooth muscle & fibrous tissue

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Persu A et al: European consensus on the diagnosis and management of fibromuscular dysplasia. J Hypertens. 32(7):1367-78, 2014
                                                                                  2. Olin JW et al: The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation. 125(25):3182-90, 2012
                                                                                  3. Cohen JE et al: Petrous carotid artery pseudoaneurysm in bilateral carotid fibromuscular dysplasia: treatment by means of self-expanding covered stent. Surg Neurol. 68(2):216-20; discussion 220, 2007
                                                                                  4. de Bray JM et al: Fibromuscular dysplasia may herald symptomatic recurrence of cervical artery dissection. Cerebrovasc Dis. 23(5-6):448-52, 2007
                                                                                  5. Nerantzis CE et al: Post-mortem angiographic and histologic findings of coronary artery fibromuscular dysplasia. Int J Cardiol. 122(3):e32-5, 2007
                                                                                  6. Perdu J et al: Inheritance of arterial lesions in renal fibromuscular dysplasia. J Hum Hypertens. 21(5):393-400, 2007
                                                                                  7. Beregi JP et al: Fibromuscular dysplasia of the renal arteries: comparison of helical CT angiography and arteriography. AJR Am J Roentgenol. 172(1):27-34, 1999
                                                                                  8. Van Damme H et al: Fibromuscular dysplasia of the internal carotid artery. Personal experience with 13 cases and literature review. Acta Chir Belg. 99(4):163-8, 1999
                                                                                  9. Wong CY et al: Cerebral perfusion and vascular reserve in fibromuscular dysplasia of the internal carotid artery. J Stroke Cerebrovasc Dis. 7(5):364-6, 1998
                                                                                  10. Stewart MT et al: The natural history of carotid fibromuscular dysplasia. J Vasc Surg. 3(2):305-10, 1986