Carotid webs are rare vascular anomalies increasingly recognized as significant contributors to ischemic strokes in young, otherwise healthy adults, particularly females. These subtle vascular malformations are often underdiagnosed due to their inconspicuous appearance on standard imaging. This case series presents three young female patients, aged 30 to 39, who presented with acute ischemic strokes attributed to carotid webs. Through comprehensive stroke evaluation, including advanced imaging techniques and timely interventions, the presence of carotid webs was confirmed. Each case underwent surgical intervention with favorable outcomes. This series aims to raise awareness about the clinical significance of carotid webs in young women presenting with cryptogenic strokes.
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http://dx.doi.org/10.7759/cureus.77953 | DOI Listing |
Purpose: We describe a case of bilateral, multiple, branch retinal artery occlusions (BRAO) associated with carotid webs.
Methods: A thorough chart review was conducted for the patient. Relevant literature was systematically reviewed.
Cureus
January 2025
Vascular Surgery, Dubai Health, Dubai, ARE.
Carotid webs are rare vascular anomalies increasingly recognized as significant contributors to ischemic strokes in young, otherwise healthy adults, particularly females. These subtle vascular malformations are often underdiagnosed due to their inconspicuous appearance on standard imaging. This case series presents three young female patients, aged 30 to 39, who presented with acute ischemic strokes attributed to carotid webs.
View Article and Find Full Text PDFWorld Neurosurg
March 2025
Department of Neurosurgery, NYU Grossman School of Medicine, New York, New York, USA.
Objective: Typical carotid webs are nonatherosclerotic shelf-like projections of fibromyxoid tissue extending from the posterior wall of the proximal internal carotid artery. Carotid webs may precipitate acute embolic stroke, especially in younger patients. We describe our experience with pathology-proven carotid webs of atypical appearance, or atypical carotid webs (ACWs), a subset of carotid webs exhibiting abnormal location, morphology, or association with atherosclerotic changes.
View Article and Find Full Text PDFJ Med Cases
February 2025
Division of Vascular Surgery, Department of Surgery, Kaiser Permanente Fontana Medical Center, Fontana, CA 92335, USA.
Internal carotid artery webs (ICAWs) have been described as noninflammatory, nonatherosclerotic shelf-like projections of intimal fibrous tissue which may be the culprit for embolic stroke of unknown origin. Carotid webs are an atypical form of intimal fibromuscular dysplasia (FMD) and internal carotid webs create areas of stagnation and recirculation distal to the web that favor thrombus formation and embolism. Symptomatic carotid webs are conventionally associated with young women presenting with few vascular risk factors and < 50% stenosis in the affected ICA.
View Article and Find Full Text PDFJ Neurosurg Case Lessons
January 2025
Department of Neurosurgery, Institute of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Background: Carotid webs are rare nonatherosclerotic disorders in the carotid artery and are increasingly recognized as factors of ischemic stroke in the young population. Asymptomatic webs can be treated with antithrombotic therapy, whereas symptomatic cases frequently require surgical interventions, including carotid endarterectomy (CEA). However, guidelines for the optimal timing of these treatments remain unestablished, especially compared to atherosclerotic stenotic lesions, due to the rarity of carotid webs.
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