RT Journal Article
SR Electronic
T1 Carotid Web as a Source of Thromboembolism in a Young African American Female
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 87
OP 89
DO 10.31486/toj.23.0082
VO 24
IS 1
A1 Assid, Eric
A1 Hall, Chad
A1 Samad, Mawadah
A1 Zweifler, Richard
YR 2024
UL http://www.ochsnerjournal.org/content/24/1/87.abstract
AB Background: Carotid webs are nonatherosclerotic fibrous bands that may alter hemodynamic flow and increase the risk of platelet aggregation, leading to thromboembolism in young, otherwise healthy individuals. Although rare, carotid webs are important causes of thromboembolic strokes and are often overlooked in the routine workup for a stroke. Treating physicians and radiologists must recognize and properly manage patients who present with carotid webs to prevent recurrent thromboembolism.Case Report: A healthy 30-year-old female presented with slurred speech and unilateral left upper and lower extremity numbness. Imaging modalities showed an acute infarction of the right middle cerebral artery and bilateral carotid webs. The patient was managed operatively with a right carotid endarterectomy and discharged on day 3 of admission on a regimen of ticagrelor, amlodipine, and aspirin. The patient was asymptomatic at 1-year follow-up.Conclusion: Our case highlights the clinical relevance of considering carotid web as a potential etiology for ischemic stroke in young, otherwise healthy patients and emphasizes the importance of timely diagnosis and appropriate management to prevent recurrent cerebrovascular events.