Carotid web as a cause of recurrent ischaemic strokes

Ugeskr Laeger. 2024 Jan 15;186(3):V09230555. doi: 10.61409/V09230555.
[Article in Danish]

Abstract

This case report presents a 37-year-old woman with two episodes of temporary left-sided hemiparesis. Brain scans (CT and MRI) showed multiple ischaemic lesions in the right hemisphere. During the next two months, the patient had four additional ischaemic events in the right hemisphere, also localised within the anterior circulation. An extensive diagnostic workup was done, and the patient was ultimately diagnosed with carotid web (CW) in the right internal carotid artery. Treatment of CW should be considered in cryptogenic, recurrent, unihemispheric stroke in younger patients to prevent recurrent stroke.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Carotid Artery, Internal / diagnostic imaging
  • Female
  • Humans
  • Ischemic Stroke* / diagnostic imaging
  • Ischemic Stroke* / etiology
  • Ischemic Stroke* / pathology
  • Magnetic Resonance Imaging
  • Neuroimaging