ABSTRACT
Fibromuscular dysplasia (FMD) is a rare, segmental nonatheromatous angiopathy of unknown etiology affecting small to medium-sized arteries. The most common angiographic pattern is the classic string-of-beads appearance. But the tubular stenosis type of the FMD is a rare finding and has not been reported previously. We report a case who presented with recurrent intracerebral hemorrhages, whose angiographic features were long tubular stenosis type of FMD affecting the both internal carotid arteries associated with terminal carotid occlusions.
Subject(s)
Arteries , Carotid Artery, Internal , Cerebral Hemorrhage , Constriction, Pathologic , Fibromuscular DysplasiaABSTRACT
A 49-year-old woman was admitted with a three-month history of myalgia and progressive proximal and distal muscle weaknesses. Physical examination showed diffuse enlargement of the thyroid gland and mild muscle atrophy. Serum creatine kinase was slightly increased and electromyography showed a myopathic pattern. Muscle biopsy showed nonspecific myopathic changes. Serum thyroid-stimulating hormone was very low, whereas thyroxine (T4) was greatly increased as well as anti-thyroglobulin, anti-microsome, and TSH-receptor antibody. The patient's symptoms were improved during the treatment with propilthiouracil.