Case Report

A case of carotid web: Cause of stroke in healthy and young patients

Sanjay M. Khaladkar, Darshana Dilip, Rahul Arkar, Vijetha Chanabasanavar, Purnachandra Lamghare
South African Journal of Radiology | Vol 26, No 1 | a2291 | DOI: https://doi.org/10.4102/sajr.v26i1.2291 | © 2022 Darshana Dilip | This work is licensed under CC Attribution 4.0
Submitted: 01 September 2021 | Published: 28 January 2022

About the author(s)

Sanjay M. Khaladkar, Department of Radiodiagnosis, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, India
Darshana Dilip, Department of Radiodiagnosis, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, India
Rahul Arkar, Department of Radiodiagnosis, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, India
Vijetha Chanabasanavar, Department of Radiodiagnosis, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, India
Purnachandra Lamghare, Department of Radiodiagnosis, Dr. DY Patil Medical College, Hospital and Research Centre, Pune, India


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Abstract

Carotid webs are important, often undiagnosed causes of cryptogenic and recurrent strokes. CT angiography and digital subtraction angiography adequately demonstrate webs as linear filling defects in the carotid bulb. However, findings are overlooked unless viewed in optimal planes and easily misdiagnosed as dissection flaps or atheromatous plaques, altering management and outcome. A case of unilateral carotid web is presented, detected during imaging in a young lady presenting with hemiparesis without other risk factors for stroke.


Keywords

carotid web; atypical fibromuscular dysplasia; cerebral angiography; recurrent cerebrovascular accident; unilateral or bilateral; embolic stroke; non-atheromatous; carotid stenosis

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