Ictus isquémico en paciente joven hipertensa: displasia fibromuscular arterial en territorio cerebral y renal


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We present the case of hypertension secondary to renal artery fibromuscular dysplasia that initiated with vertebrobasilar disease in form of ischemic vascular cerebral accident. Renal artery fibromuscular dysplasia is one of principal cases of secondary or renovascular hypertension. It tends to affect young women patients and is characterized by its typical “string of beads” appearance on the angiogram. It is one of the causes of arterial hypertension that can be treated with revascularization percutaneous transluminal angioplasty or surgical revascularization. Its most frequent location is the renal artery, but it has been described in almost every arterial bed in the body. In our case, the cerebrovascular territory is affected.

Published in 2009.

DOI: 10.1016/j.hipert.2009.01.004

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