Internal Carotid Artery Web as the Cause of Recurrent Cryptogenic Ischemic Stroke

Carotid artery web is considered an exceptional cause of recurrent ischemic strokes in the affected arterial territory. The underlying pathology proposed for this entity is an atypical fibromuscular dysplasia. We present the case of a 43-year-old woman with no cardiovascular risk factors who had exp...

Full description

Saved in:
Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2018-05, Vol.27 (5), p.e86-e87
Main Authors: Antigüedad-Muñoz, Jon, de la Riva, Patricia, Arenaza Choperena, Gorka, Muñoz Lopetegi, Amaia, Andrés Marín, Naiara, Fernández-Eulate, Gorka, Moreno Valladares, Manuel, Martínez Zabaleta, Maite
Format: Article
Language:English
Subjects:
Adult
Aspirin - therapeutic use
Atorvastatin - therapeutic use
atypical fibromuscular dysplasia
Biopsy
Brain Ischemia - diagnostic imaging
Brain Ischemia - etiology
Cardiovascular Agents - therapeutic use
Carotid Artery Diseases - complications
Carotid Artery Diseases - diagnostic imaging
Carotid Artery Diseases - drug therapy
Carotid Artery Diseases - pathology
Carotid Artery, Internal - diagnostic imaging
Carotid Artery, Internal - drug effects
Carotid Artery, Internal - pathology
Computed Tomography Angiography
cryptogenic stroke
diaphragm
Female
Fibromuscular Dysplasia - complications
Fibromuscular Dysplasia - diagnostic imaging
Fibromuscular Dysplasia - drug therapy
Fibromuscular Dysplasia - pathology
Humans
Hyperplasia
Neointima
Recurrence
Risk Factors
Stroke - diagnostic imaging
Stroke - etiology
Web
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Carotid artery web is considered an exceptional cause of recurrent ischemic strokes in the affected arterial territory. The underlying pathology proposed for this entity is an atypical fibromuscular dysplasia. We present the case of a 43-year-old woman with no cardiovascular risk factors who had experienced 2 cryptogenic ischemic strokes in the same arterial territory within an 11-month period. Although all diagnostic tests initially yielded normal results, detailed analysis of the computed tomography angiography images revealed a carotid web; catheter angiography subsequently confirmed the diagnosis. Carotid surgery was performed, since which time the patient has remained completely asymptomatic. The histological finding of intimal hyperplasia is consistent with previously reported cases of carotid artery web. Carotid artery web is an infrequent cause of stroke, and this diagnosis requires a high level of suspicion plus a detailed analysis of vascular imaging studies.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2017.12.012