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Case Reports
. 2018 Feb 19:2018:3195679.
doi: 10.1155/2018/3195679. eCollection 2018.

A Rare Case of Carotid Web Presenting with Ischemic Stroke in a Young Woman and a Brief Review of the Literature

Kyaw Kyaw  1 , Htun Latt  2 , Sammy San Myint Aung  1 , Jay Babu  3 , Rajesh Rangaswamy  4
Affiliations
Free PMC article
Case Reports

A Rare Case of Carotid Web Presenting with Ischemic Stroke in a Young Woman and a Brief Review of the Literature

Kyaw Kyaw et al. Case Rep Med. .
Free PMC article

Abstract

Carotid web is a radiological description of a shelf-like intraluminal filling defect in the carotid bulb. It is histologically defined as atypical fibromuscular dysplasia (FMD), with abnormal fibrosis and smooth muscle cell hyperplasia in the tunica intima. The spur-like intraluminal protrusion can serve as a nidus for thrombus formation, which could cause systemic embolism and ischemic strokes. We report a case of a 20-year-old female patient presenting with acute ischemic stroke in the ipsilateral middle cerebral artery (MCA) territory. We also discuss the incidence, the prevalence, the pathophysiology, the treatment, and the recurrence of carotid web based on the currently available literature.

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Figures

Figure 1
Figure 1
MRI brain without contrast (DWI—diffusion-weighted image) showing acute ischemic infarct in left temporoparietal lobe in the distribution of left MCA.
Figure 2
Figure 2
MRA brain showing total occlusion of M1 segment of left MCA (red arrow) and normal circle of Willis.
Figure 3
Figure 3
CTA neck showing a short segment of partially recanalized vessel (∗) between M1 and M2 segments of left MCA.
Figure 4
Figure 4
CTA neck showing carotid web in the left internal carotid artery (arrows).
See this image and copyright information in PMC

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References

    1. Choi P. M. C., Singh D., Trivedi A., et al. Carotid webs and recurrent ischemic strokes in the era of CT angiography. American Journal of Neuroradiology. 2015;36(11):2134–2139. doi: 10.3174/ajnr.a4431. - DOI - PubMed
    1. Joux J., Boulanger M., Jeannin S., et al. Association between carotid bulb diaphragm and ischemic stroke in young Afro-Caribbean patients. Stroke. 2016;47(10):2641–2644. doi: 10.1161/strokeaha.116.013918. - DOI - PubMed
    1. Sajedi P. I., Gonzalez J. N., Cronin C. A., et al. Carotid bulb webs as a cause of “cryptogenic” ischemic stroke. American Journal of Neuroradiology. 2017;38(7):1399–1404. doi: 10.3174/ajnr.a5208. - DOI - PubMed
    1. Coutinho J. M., Derkatch S., Potvin A. R., et al. Carotid artery web and ischemic stroke: a case-control study. Neurology. 2017;88(1):65–69. doi: 10.1212/wnl.0000000000003464. - DOI - PMC - PubMed
    1. Momose K. J., New P. F. Non-atheromatous stenosis and occlusion of the internal carotid artery and its main branches. American Journal of Roentgenology. 1973;118(3):550–566. doi: 10.2214/ajr.118.3.550. - DOI - PubMed

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