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Updated: Aug 2, 2025

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Author Spotlight: Assessing Ischemic Stroke Damage Through Middle Cerebral Artery Occlusion Model
Published on: August 11, 2023
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Transient ischemic attack due to dynamic evolution of carotid artery web
Hui Zhang1,2,3, Nianlong Sun4, Yitao He5,6,7
1Department of Neurology, The Second Clinical Medical College of Jinan University, Shenzhen, Guangdong, China.
Summary
Carotid artery web (CaW) is a rare condition linked to stroke risk. This case highlights how CaW evolves with thrombus and plaque, emphasizing ultrasound
Area of Science:
- Vascular Neurology
- Cerebrovascular Diseases
- Medical Imaging
Background:
- Carotid artery web (CaW) is a rare form of fibromuscular dysplasia.
- CaW is an underrecognized cause of transient ischemic attack (TIA).
- Understanding CaW's progression is crucial for managing TIA risk.
Purpose of the Study:
- To illustrate the dynamic changes in secondary thrombus and plaque within a carotid artery web.
- To emphasize the role of carotid Doppler ultrasound in diagnosing and monitoring CaW.
Main Methods:
- Case report detailing a patient with carotid artery web.
- Utilized carotid Doppler ultrasound for imaging and follow-up.
- Documented the evolution of plaque and thrombus formation.
Main Results:
- Observed dynamic changes in secondary thrombus and plaque associated with CaW.
- Carotid Doppler ultrasound demonstrated efficacy in visualizing these changes.
- Early detection and serial monitoring were facilitated by ultrasound.
Conclusions:
- Carotid artery web can exhibit dynamic evolution of thrombus and plaque.
- Carotid Doppler ultrasound is vital for early detection and effective follow-up of CaW.
- This highlights the importance of considering CaW in TIA evaluations.
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