2025, Number 3
Carotid web as origin of stroke
Magaña RJI, Armenta FR, Harrison GC, Domínguez CLG
Language: Spanish
References: 0
Page: 304-305
PDF size: 211.43 Kb.
A 40-year-old female with left TIA, in which ultrasound and CT angiography were performed, showed an ipsilateral carotid web (CW). Atypical fibromuscular dysplasia of the bulb or CW is a non-atheromatous pathology involved in the appearance of cerebral infarctions of unknown causes. Carotid CW is defined as a shelf-shaped linear filling defect in the posterior aspect of the bulb of the internal carotid artery by angiotomography or ultrasound and is increasingly recognized as a cause of recurrent stroke and/or TIA, usually cryptogenic, but the evidence remains scarce. Treatment with antiplatelet prevents strokes, but radical treatment remains surgical and/or endovascular.