BACKGROUND: The possibility of an association between two vascular anomalies, renal artery dysplasia and cerebral artery aneurysm, merits recognition. CASE REPORT: We report the case of a 63 year old woman who was found to have fibromuscular dysplasia affecting the right renal artery while being investigated for systemic hypertension. Given a family history of cerebrovascular accident occurring before the age of 50, a cerebral angiogram was performed which demonstrated a saccular aneurysm of the middle cerebral artery measuring 6 mm in diameter. DISCUSSION: The association of these two anomalies could result from a familial arterial fibromuscular dysplasia. There are practical implications, notably the risk of aneurysm rupture and the role of hypertension.
Persu, A., Dubois, C., Pirson, Y., & De Plaen, J.-F. (1997). Dysplasie fibromusculaire rénale et anévrisme cérébral chez une patiente hypertendue avec histoire familiale d’accidents vasculaires cérébraux. La Presse Médicale, 26(30), 1429-1431. https://hdl.handle.net/2078.5/211786 (Original work published 1997)