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Summary: A patient with cervicocranial fibromuscular dysplasia (FMD) presented with subarachnoid hemorrhage. A ruptured dissecting distal vertebral artery aneurysm required clip ligation of the parent artery; a contralateral dissecting proximal vertebral aneurysm was occluded with detachable coils. Progressive dis- secting, extracranial aneurysms of the internal carotid artery were treated with self-expanding stents. Subsequent angiogra- phy and intravascular sonography revealed patent stents, a smooth luminal surface, and total occlusion of the aneurysm. Clinical outcome was excellent.

Dissecting Aneurysms of All Four Cervicocranial Arteries in Fibromuscular Dysplasia