August 1967

Fibromuscular Hyperplasia of the Internal Carotid Artery

Author Affiliations

San Francisco
From the Department of Surgery, University of California School of Medicine, San Francisco.

Arch Surg. 1967;95(2):284-287. doi:10.1001/archsurg.1967.01330140122027

FIBROMUSCULAR hyperplasia, an arterial dysplasia of unknown etiology, is an important cause of remediable renovascular hypertension.1,3 This lesion has been foundin all the major branches of the abdominal aorta,4 but only recently has involvement of the cervical internal carotid artery been described.5-7 The present report describes a patient with bilateral fibromuscular hyperplasia of the cervical internal carotid arteries, which produced transient neurologic disturbances. Associated arterial coiling, kinking, and aneurysm formation were treated by primary excision and end-to-end anastomosis. The preoperative symptoms ceased following operation.

Report of a Case  A 57-year-old white woman was admitted to the University of California Medical Center in July 1966. Four weeks before admission she had lost consciousness for three minutes, and on awakening she had numbness and weakness of the left side of her body. The hemidysesthesia subsided within 12 hours and there were no further episodes. She had had intermittent dizziness

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