Key result
A 30-year-old female with rare simultaneous three-vessel cervical artery dissection due to fibromuscular dysplasia recovered with minimal residual symptoms following a two-month course of antiplatelet therapy.
Why the study?
While single-vessel spontaneous cervical artery dissection is more common, simultaneous involvement of three cervical arteries associated with fibromuscular dysplasia is rare.
Case Report (n=1)
This case highlights fibromuscular dysplasia as an underrecognized cause of multiple simultaneous cervical artery dissections that can be managed with antiplatelet therapy and surgical decompression.
Answers are grounded in this paper and cite their sources.
Suggests antiplatelet therapy may aid recovery in rare FMD dissections; hypothesis-generating and should not yet change practice.
Spontaneous cervical artery dissection is a condition often associated with connective tissue diseases, such as fibromuscular dysplasia (FMD), a complex angiopathy primarily affecting medium-sized arteries. While single-vessel dissection is more common, simultaneous involvement of three cervical arteries is rare. We present the case of a 30-year-old female patient who suffered from bilateral cerebellar infarction, subarachnoid hemorrhage, and hydrocephalus, necessitating external ventricular drainage and posterior fossa decompressive craniectomy. Multimodal imaging, including computed tomography angiography (CTA), magnetic resonance angiography (MRA), and digital subtraction angiography (DSA), confirmed the presence of FMD with dissections involving the right internal carotid artery and both vertebral arteries. Following a two-month course of antiplatelet therapy, the patient experienced minimal residual symptoms, enabling independent daily activities. Given that FMD is an underrecognized cause of multiple cervical artery dissections, clinicians should maintain a high index of suspicion when encountering such cases. This case highlights the importance of thorough investigation and management in similar clinical presentations.
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Goginski et al. (2025) conducted a case report in Multiple cervical artery dissection associated with fibromuscular dysplasia (n=1). Antiplatelet therapy was evaluated on Clinical recovery. A 30-year-old female with rare simultaneous three-vessel cervical artery dissection due to fibromuscular dysplasia recovered with minimal residual symptoms following a two-month course of antiplatelet therapy.
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