Treatment of Fibromuscular Dysplasia with Cervical Artery Dissection and Ischemic Stroke or TIA

Clinical Scenario

This protocol addresses patients with cervical artery dissection — involving the carotid or vertebral arteries — related to fibromuscular dysplasia, presenting in the context of ischemic stroke or transient ischemic attack (TIA).

Presentation

In cervical artery dissection (carotid or vertebral) related to fibromuscular dysplasia, focal neurologic findings may occur, with or without associated neck, face, or head pain.

Treatment Approach

An endovascular approach is among the interventions relevant to this setting — the complete criteria, sequencing, and management pathway are detailed in the full protocol.

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References

DOI: 10.1177/1358863X18821816

In cases of CeAD (carotid or vertebral) related to FMD, focal neurologic findings with or without associated neck, face, or head pain may occur.
Endovascular therapy (e.g. carotid artery stenting) is typically restricted to cases with persistent cerebrovascular ischemia despite optimal medical therapy.

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