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Fibromuscular Dysplasia
Matthew Alexander, MD; Karen L. Salzman, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Fibromuscular dysplasia (FMD)
          • Definitions

            • Arterial disease of unknown etiology
              • Overgrowth of smooth muscle, fibrous tissue
              • Affects medium/large arteries

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Microscopic Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    Selected References

                                    1. Lippmann M et al: Subclinical involvement of common carotid arteries in patients with fibromuscular dysplasia - a case-control study. Vasa. 48(6):509-15, 2019
                                    2. Cohen JE et al: Endovascular thrombectomy and stenting in the management of carotid fibromuscular dysplasia presenting with major ischemic stroke. J Clin Neurosci. 21(11):2021-3, 2014
                                    3. Olin JW et al: Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association. Circulation. 129(9):1048-78, 2014
                                    4. Persu A et al: European consensus on the diagnosis and management of fibromuscular dysplasia. J Hypertens. 32(7):1367-78, 2014
                                    5. Olin JW et al: The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation. 125(25):3182-90, 2012
                                    6. Libman RB: Fibromuscular dysplasia with carotid artery dissection presenting as an isolated hemianopsia. J Stroke Cerebrovasc Dis. 17(5):330, 2008
                                    7. Slovut DP et al: Fibromuscular dysplasia. N Engl J Med. 350(18):1862-71, 2004
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Fibromuscular dysplasia (FMD)
                                            • Definitions

                                              • Arterial disease of unknown etiology
                                                • Overgrowth of smooth muscle, fibrous tissue
                                                • Affects medium/large arteries

                                            IMAGING

                                            • General Features

                                              • CT Findings

                                                • MR Findings

                                                  • Ultrasonographic Findings

                                                    • Angiographic Findings

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Microscopic Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Natural History & Prognosis

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Consider

                                                                      Selected References

                                                                      1. Lippmann M et al: Subclinical involvement of common carotid arteries in patients with fibromuscular dysplasia - a case-control study. Vasa. 48(6):509-15, 2019
                                                                      2. Cohen JE et al: Endovascular thrombectomy and stenting in the management of carotid fibromuscular dysplasia presenting with major ischemic stroke. J Clin Neurosci. 21(11):2021-3, 2014
                                                                      3. Olin JW et al: Fibromuscular dysplasia: state of the science and critical unanswered questions: a scientific statement from the American Heart Association. Circulation. 129(9):1048-78, 2014
                                                                      4. Persu A et al: European consensus on the diagnosis and management of fibromuscular dysplasia. J Hypertens. 32(7):1367-78, 2014
                                                                      5. Olin JW et al: The United States registry for fibromuscular dysplasia: results in the first 447 patients. Circulation. 125(25):3182-90, 2012
                                                                      6. Libman RB: Fibromuscular dysplasia with carotid artery dissection presenting as an isolated hemianopsia. J Stroke Cerebrovasc Dis. 17(5):330, 2008
                                                                      7. Slovut DP et al: Fibromuscular dysplasia. N Engl J Med. 350(18):1862-71, 2004