Carotid Web – An Unusual Cause for Ischemic Stroke in a Young Woman

Author:

Sekar Natarajan1,Sima Rahul Ralph1,Rajan Archana1,Thandeswaran Sivarajan2

Affiliation:

1. Department of Vascular and Endovascular Surgery, Kauvery Hospital, Chennai, Tamil Nadu, India

2. Department of Neurology, Kauvery Hospital, Chennai, Tamil Nadu, India

Abstract

Abstract Carotid web (CW) is a rare condition where a shelf-like projection of intimal fibrous tissue is seen arising from the posterior wall of the carotid bulb. It is regarded as a high-risk factor for ischemic stroke of undetermined etiology. Although there is no clear consensus as to the management of these patients, the published literature is more in favor of intervention rather than medical management due to the higher incidence of recurrent stroke in conservatively managed patients. We present a case of a young woman with ischemic stroke due to CW who was managed successfully with thrombolysis followed by endovascular management.

Publisher

Medknow

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