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Nadia Damholt Savino1, Karen Lehrmann Ægidius1, Willy Krone2,3

  • 1Neurologisk Afdeling, Odense Universitetshospital.

Ugeskrift for Laeger
|February 2, 2024
PubMed
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A carotid web caused recurrent strokes in a young woman. Prompt diagnosis and treatment of this rare condition can prevent future ischemic events.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroimaging

Background:

  • Recurrent ischemic strokes in young adults necessitate thorough etiological investigation.
  • Carotid web is an uncommon congenital anomaly that can predispose to stroke.

Observation:

  • A 37-year-old woman experienced recurrent episodes of left-sided hemiparesis.
  • Brain imaging revealed multiple ischemic lesions confined to the right cerebral hemisphere, specifically within the anterior circulation.
  • The patient suffered four additional ischemic events within two months.

Findings:

  • Extensive diagnostic workup led to the diagnosis of a carotid web in the right internal carotid artery.
  • The carotid web was identified as the underlying cause of the recurrent, unihemispheric strokes.

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Implications:

  • Carotid web should be considered in the differential diagnosis of cryptogenic, recurrent, unihemispheric strokes in young patients.
  • Early detection and management of carotid web are crucial for stroke prevention.
  • This case highlights the importance of considering rare vascular anomalies in young stroke patients.