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- Title
Carotid Web as a Source of Thromboembolism in a Young African American Female.
- Authors
Assid, Eric; Hall, Chad; Samad, Mawadah; Zweifler, Richard
- Abstract
Background: Carotidwebs are nonatherosclerotic fibrous bands thatmay alter hemodynamic flowand 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 of ten overlooked in the routineworkup 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.
- Subjects
BLOOD platelet aggregation; AFRICAN Americans; THROMBOEMBOLISM; ISCHEMIC stroke; STROKE; CEREBRAL embolism &; thrombosis; CEREBRAL infarction
- Publication
Ochsner Journal, 2024, Vol 24, Issue 1, p87
- ISSN
1524-5012
- Publication type
Article
- DOI
10.31486/toj.23.0082