Journal of Child Neurology

 

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Journal of Child Neurology, Vol. 14, No. 4, 233-238 (1999)
DOI: 10.1177/088307389901400404

Case Report of Fibromuscular Dysplasia Presenting as Stroke in a 16-Year-Old Boy

Vinay Puri, MD

Departments of Neurology and Pediatrics, University of Louisville School of Medicine Louisville, KY

Garrett Riggs, PhD, MD

Department of Neurology, University of Alabama at Birmingham Birmingham, AL

Fibromuscular dysplasia of the carotid artery is uncommon, but not rare. Although the true incidence and prevalence of the disease are not known, reported figures in adults range between 0.6% by angiography and 1.1% at autopsy. Most case reports of stroke caused by carotid fibromuscular dysplasia describe findings in adult subjects, although there are a few reports of the disease in children. In the present case, we describe a 16-year-old boy with fibromuscular dysplasia confined to one internal carotid artery and its branches, and in whom the disease declared itself by stroke. This case serves as a basis for considering diagnostic methods, treatment options, and future research in pediatric patients with cerebrovascular disease caused by fibromuscular dysplasia. (J Child Neurol 1999;14:233-238).


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