Extracranial carotid localized fibromuscular dysplasia: A case report and literature review.

Autor:	Ismail M; Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq., Al-Ageely TA; Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq., Alzerkani MAA; Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq., Al-Khazaali YM; Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq., Salih HA; Department of Biology, University of Al-Mustansiriyah, College of Sciences, Baghdad, Iraq., Al-Khafaji AO; Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq., Kareem ZM; Department of Neurosurgery, University of Baghdad, College of Medicine, Baghdad, Iraq., Abdulsada AM; Department of Neurosurgery, Azerbaijan Medical University, Baku, Azerbaijan, Iraq., Salih HR; Department of Neurosurgery, Neurosurgical Teaching Hospital, Baghdad, Iraq., Hoz SS; Department of Neurosurgery, University of Cincinnati, Cincinnati, United States.
Jazyk:	angličtina
Zdroj:	Surgical neurology international [Surg Neurol Int] 2022 Oct 28; Vol. 13, pp. 498. Date of Electronic Publication: 2022 Oct 28 (Print Publication: 2022).
DOI:	10.25259/SNI_937_2022
Abstrakt:	Background: Fibromuscular dysplasia (FMD) is a noninflammatory and nonatherosclerotic arteriopathy that is characterized by irregular cellular proliferation and deformed construction of the arterial wall that causes segmentation, constriction, or aneurysm in the intermediate-sized arteries. The incidence of FMD is 0.42-3.4%, and the unilateral occurrence is even rarer. Herein, we report a rare case of a localized extracranial carotid unilateral FMD associated with recurrent transient ischemic attacks (TIAs) treated by extracranial-intracranial bypass for indirect revascularization. The specific localization of the disease rendered our case unique. Methods: We conducted a review of the PubMed Medline database search using the following combined formula: ((FMD [Title/Abstract]) AND ((isolated [Title/Abstract]) OR (localized [Title/Abstract]))) AND Internal carotid artery (ICA) (Title/Abstract). Additional resources were included by screening the reference list of the selected papers. Results: A total of six cases were found, and all accounted for localized FMD affecting the ICA. The age range was between 19 and 52, the male-to-female ratio was (2:4), and all of the cases consisted of unilateral carotid FMD, mainly on the left side with a left-to-right ratio of 5:1. The management and outcome of these cases varied according to the case and associated complications. Conclusion: Extracranial localized FMD of the ICA is a rare subtype of FMD that has little documentation in the literature. In our case, it was a localized extracranial carotid unilateral FMD associated with recurrent TIAs. The appropriate treatment was using the intracranial-extracranial bypass. Competing Interests: There are no conflicts of interest (Copyright: © 2022 Surgical Neurology International.)
Databáze:	MEDLINE
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