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Cerebrovascular complications of fibromuscular dysplasia

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Opinion statement

Patients with cerebral ischemia or hemorrhage due to fibromuscular dysplasia (FMD) should be admitted to a monitored hospital bed and receive supportive stroke care. Based on our personal clinical experience, we recommend antiplatelet agents for future stroke prevention in patients with symptomatic FMD. In patients with watershed stroke due to hemodynamically significant FMD, our opinion is that hypertensive, hypervolemic therapy should be initiated immediately. Additionally, we suggest that potential revascularization therapies, such as intraoperative or primary percutaneous angioplasty, should be discussed.

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Authors and Affiliations

  1. Division of Stroke and Cerebrovascular Disease, Palmer 125, Department of Neurology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, 02215, Boston, MA, USA

    Megan C. Leary MD, Anna Finley MD & Louis R. Caplan MD

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  1. Megan C. Leary MD
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  2. Anna Finley MD
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  3. Louis R. Caplan MD
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Leary, M.C., Finley, A. & Caplan, L.R. Cerebrovascular complications of fibromuscular dysplasia. Curr Treat Options Cardiovasc Med 6, 237–248 (2004). https://doi.org/10.1007/s11936-996-0019-5

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