Intimal Fibromuscular Dysplasia of the Carotid Artery: Case Report and Review

摘要

Differential diagnosis of stroke in young patients includes fibromuscular dysplasia (FMD). As renal arteries are the most frequent target in this disease, early-onset high blood pressure appears as the most common manifestation. Craniocervical vessel disease is less known and often asymptomatic, debuting with ischemic or hemorrhagic stroke. Three histological subtypes of the disease exist, depending on it affecting the tunica media, intima or adventitia of the artery. Stroke is commonly associated with FMD of the middle layer. Cases of intimal FMD are infrequent and there are fewer than 15 reports. We present a case whose diagnosis was fibromuscular dysplasia of the carotid artery intima and provide a review of the available information on the disease.