Extracranial internal carotid fibromuscular dysplasia associated with successfully treated hyperacute cerebral infarction

Fibromuscular dysplasia [FMD] is a segmental non-atheromatous and non-inflammatory stenosing angiopathy of unknown cause and the cervico-cephalic [cc] FMD is relatively uncommon. The big majority of the ccFMD patients are Caucasians and there have been several reports in Japan up to the present, the greatest number of which were associated with intracranial aneurysms or discovered post-mortem. The association with cerebral infarction has been rarely described in Japanese patients. We report a case of hyperacute cerebral ischemia caused by embolism, originating in the internal carotid artery. We performed super-selective thrombolysis of a middle cerebral artery embolic ooclusion by a microcatheter with excellent result. Although ccFMD can be associated with a range of vascular pathology and cerebral ischemia is only one of the possibilities, it should be considered as a cause in these young patients where there is no evidence of other embolic sources. Early intervention in these cases can prevent ischemic brain damage

Dissecting aneurysm of the carotid artery after a minor neck trauma in a child: a case report

A case of dissecting aneurysm in a 5-year-old girl without a pre-existing predisposing factor is presented. Her clinical presentation in spite of being typical, did not progress to severe deficit. The diagnosis was achieved by 2D and 3D-TOF MRI studies after the indirect indications of the CT studies after the accident. This case study emphasizes the possible presentation s in children. This diagnosis in the pediatric age-group is difficult and is probably the reason for the very few cases reported

Familial trigeminal neuralgia-report of two cases

Familial trigeminal neuralgia is a rare condition with only 125 cases described until now. Two sisters with trigeminal neuralgia are presented, focusing on the clinical details with the surgical findings, and their relationship to the characteristics of the familial neuralgia group. The surgical findings in both cases are discussed. The scope of the current theories for the pathology responsible for the condition, the differences between familial and the general trigeminal neuralgia group and the future possibilities for clarifying the cause of these differences are also highlighted