Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 100968555 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2377 (Electronic) Linking ISSN: 14712377 NLM ISO Abbreviation: BMC Neurol Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Ischemic Stroke*/complications ; Stroke*/complications ; Stroke*/diagnostic imaging ; Carotid Stenosis*/complications ; Thrombosis*/complications ; Thrombosis*/diagnostic imaging; Female ; Humans ; Middle Aged ; Stents/adverse effects ; Carotid Arteries ; Carotid Artery, Internal/diagnostic imaging ; Carotid Artery, Internal/surgery
    • Abstract:
      Background: Carotid web (CaW) and carotid free-floating thrombus (CFFT) are rare yet critical causes of ischemic stroke in young adults.
      Case Presentation: A 54-year-old woman presented with a fluctuating right sensory-motor faciobrachial syndrome. A brain MRI scan revealed multiple small recent asynchronous cortico-subcortical ischemic foci in the vascular territory of the left internal carotid artery. A CT angiography identified a CFFT in the left internal carotid artery arising from an underlying CaW. The patient was treated with excellent clinical outcomes with carotid artery stenting and dual antiplatelet therapy.
      Conclusions: We provide a structured pathophysiological rationale connecting CaW and CFFT and highlight pivotal therapeutic implications. Further studies are needed to investigate this relationship and guide assessment and treatment.
      (© 2023. The Author(s).)
    • References:
      J Neurol Neurosurg Psychiatry. 2020 Dec;91(12):1283-1289. (PMID: 33004431)
      Eur J Neurol. 2013 Nov;20(11):1431-9. (PMID: 23837733)
      AJNR Am J Neuroradiol. 2015 Nov;36(11):2134-9. (PMID: 26228877)
      Stroke. 2017 Nov;48(11):3134-3137. (PMID: 29018133)
      Rev Neurol (Paris). 2021 Jun;177(6):627-638. (PMID: 33455831)
      Lancet Neurol. 2018 Sep;17(9):790-801. (PMID: 30129475)
      J Vasc Surg. 2007 Jan;45(1):199-205. (PMID: 17210411)
      AJNR Am J Neuroradiol. 2019 Apr;40(4):703-708. (PMID: 30872422)
      Acta Neurochir (Wien). 2020 Oct;162(10):2583-2588. (PMID: 32152755)
      Stroke. 2014 Dec;45(12):3711-3. (PMID: 25358695)
      Stroke. 2019 Dec;50(12):e344-e418. (PMID: 31662037)
      Neurohospitalist. 2022 Apr;12(2):352-354. (PMID: 35419145)
      Neurology. 2020 Nov 17;95(20):931-932. (PMID: 33004604)
      Front Neurol. 2019 Mar 12;10:220. (PMID: 30915028)
      Int J Stroke. 2019 Apr;14(3):247-256. (PMID: 30722756)
    • Contributed Indexing:
      Keywords: Carotid artery stenting; Cerebrovascular disorder; Etiology; Fibromuscular dysplasia; Ischemic stroke; Young adults
    • Publication Date:
      Date Created: 20231108 Date Completed: 20231110 Latest Revision: 20231111
    • Publication Date:
      20231215
    • Accession Number:
      PMC10631111
    • Accession Number:
      10.1186/s12883-023-03448-4
    • Accession Number:
      37940876