Fibromuscular Dysplasia of the Basilar Artery

Fibromuscular dysplasia of the basilar artery: An unusual case with medico-legal implications

“…However, the clinical presentation of the other patients could be directly related to involvement of a dysplastic basilar artery. The sudden onset of right-sided hemiparesis followed by quadriplegia and akinetic mutism in a 32-year-old male patient appeared to be due to a large infarct with the typical involvement of the basilar artery [12]. A 33-year-old male patient was hospitalized because of acute dysarthria and left-sided hemiplegia, which was followed by a locked-in syndrome.…”

“…To date, FMD of the basilar artery as a histopathological diagnosis has been reported in the English literature in only five cases [9][10][11][12][13]. The case on FMD of the basilar artery presented here is meant to make forensic pathologists alert to intracranial FMD, and to emphasize the validity of the examination of the brain base arteries in any case of isolated basal subarachnoid hemorrhage, even when the cause of death seems to be obviously of traumatic origin.…”