Clinical characteristics of fibromuscular dysplasia with severe headache misdiagnosed as cerebral artery dissec-tion: a case report

• 来源期刊: 转化神经科学电子杂志（英文）
• 年，卷（期）: 2020,（3）
• 所属期刊栏目: Case Report
• 页码范围: 25-31
• 页数: 7页
• 语种: 英文
• DOI: 10.3868/j.issn.2096-0689.2020.03.004

摘要

Fibromuscular dysplasia (FMD) is a rare disease with a typical clinical manifestations. This article will describe the clinical features of a FMD case with se-vere headache misdiagnosed as cerebral artery dissection (CAD). Treatment remedies: we collected the clinical data of a patient with severe headache and performed brain MRI (magnetic resonance imaging) and cerebral arteriovenous MRA (magnetic resonance angiography). The preliminary diagnosis was considered as right ver-tebral artery dissection, and then cerebral DSA (digital subtraction angiography) was performed for further di-agnosis. Post treatment evaluating: cerebral angiogra-phy showed that the vessel wall was stiff, with multiple (insect phagocytic)-like changes, and severe stenosis of local long segments. Some vessels showed "double lu-men sign", which was consistent with the performance of FMD. After anticoagulant treatment, the patient's con-dition was improved. Conclusions: for severe headache, in addition to common diseases, the possibility of FMD should also be paid great attention. Early cerebrovascu-lar screening is conducive to early diagnosis and timely treatment.