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

Autor: Antigüedad-Muñoz J; Neurology Department, Hospital Universitario Donostia, Gipuzkoa, Spain. Electronic address: JON.RODRIGUEZ-ANTIGUEDADMUNOZ@osakidetza.eus., de la Riva P; Neurology Department, Hospital Universitario Donostia, Gipuzkoa, Spain., Arenaza Choperena G; Radiodiagnostic and Interventional Radiology Department, Hospital Universitario Donostia, Gipuzkoa, Spain., Muñoz Lopetegi A; Neurology Department, Hospital Universitario Donostia, Gipuzkoa, Spain., Andrés Marín N; Neurology Department, Hospital Universitario Donostia, Gipuzkoa, Spain., Fernández-Eulate G; Neurology Department, Hospital Universitario Donostia, Gipuzkoa, Spain., Moreno Valladares M; Pathology Department, Hospital Universitario Donostia, Gipuzkoa, Spain., Martínez Zabaleta M; Neurology Department, Hospital Universitario Donostia, Gipuzkoa, Spain.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2018 May; Vol. 27 (5), pp. e86-e87. Date of Electronic Publication: 2018 Jan 10.
DOI: 10.1016/j.jstrokecerebrovasdis.2017.12.012
Abstrakt: 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.
(Copyright © 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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