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Carotid Webs in Pediatric Acute Ischemic Stroke
Sara Hassani1, Raul G Nogueira1, Alhamza R Al-Bayati1
1Department of Neurology, Emory University School of Medicine/Grady Memorial Hospital Marcus Stroke and Neuroscience Center. Atlanta, Georgia, GA 30303, USA.
Summary
This study found no evidence of carotid webs in pediatric patients with acute ischemic stroke. Further research is needed to understand the origins and implications of carotid webs.
Area of Science:
- Neurology
- Vascular Medicine
- Pediatric Stroke
Background:
- Carotid web is a poorly understood vascular lesion linked to ischemic strokes.
- Its congenital or acquired nature remains unclear.
- Investigating carotid webs in pediatric stroke is crucial.
Purpose of the Study:
- To determine the frequency of carotid webs in children experiencing acute ischemic stroke.
- To explore potential links between carotid webs and pediatric stroke etiology.
Main Methods:
- Retrospective review of neck CTA, MRA, or DSA imaging in pediatric AIS patients.
- Independent vascular imaging review by two neurointerventionists.
Main Results:
- Forty-seven pediatric acute ischemic stroke cases were analyzed.
- No carotid webs were detected in the studied pediatric stroke population.
- Common risk factors included congenital heart disease, sickle cell disease, infection, and trauma.
Conclusions:
- The study did not find evidence supporting carotid webs as a congenital condition in pediatric stroke.
- More research is required to elucidate the origin and natural history of carotid webs.
- Understanding carotid web implications for treatment is essential.
