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MDCT Detection of Fibromuscular Dysplasia of the Internal Carotid Artery

Cécile de Monyé1, Diederik W. J. Dippel2, Marcel L. Dijkshoorn1, Hervé L. J. Tanghe1 and Aad van der Lugt1

1 Department of Radiology, Erasmus University Medical Center, Dr. Molewaterplein 40, Rotterdam 3015 GD, The Netherlands.
2 Department of Neurology, Erasmus University Medical Center, Rotterdam 3015 GD, The Netherlands.


Figure 1
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  		Fig. 1 —39-year-old woman with acute hemiparesis of left side of body and mild dysarthria. Coronally reformatted CT angiogram of right and left internal carotid arteries shows string-of-beads appearance of right internal carotid artery (arrowheads). Left internal carotid artery (curved arrow) is normal. Signs of atherosclerosis, especially at level of carotid bifurcation (straight arrow), are absent.

 

Figure 2
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  		Fig. 2A —78-year-old woman with left amaurosis fugax. Volume-rendered CT angiograms of left (A) and right (B) carotid arteries. String-of-beads appearance of internal carotid artery is visible at distal extracranial internal carotid artery on both sides.

 

Figure 3
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  		Fig. 2B —78-year-old woman with left amaurosis fugax. Volume-rendered CT angiograms of left (A) and right (B) carotid arteries. String-of-beads appearance of internal carotid artery is visible at distal extracranial internal carotid artery on both sides.

 

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