De novo formation of a carotid web: case report

Autor: Giuseppe Lanzino, Elliot T. Dawson, Giovanni Vercelli, Thanila A. Macedo, Norbert G. Campeau
Rok vydání: 2019
Předmět:
Zdroj: Journal of Neurosurgery. 131:1481-1484
ISSN: 1933-0693
0022-3085
DOI: 10.3171/2018.7.jns181579
Popis: A carotid web is a shelf-like intraluminal filling defect typically arising from the posterolateral wall of the proximal internal carotid artery. It is recognized as a possible cause of ischemic stroke in young adults. However, its etiopathogenesis is controversial and remains to be fully elucidated. The authors report de novo formation of a carotid web from an intimal dissection documented on serial imaging studies. The findings in this case suggest that a focal intimal dissection could be the underlying cause of a carotid web. Lower shear stress at the posterolateral wall of the proximal internal carotid artery is hypothesized to be a predisposing factor and explains the predilection of a carotid web for this specific location.
Databáze: OpenAIRE