Radiology Case Reports (Aug 2023)

Atypical fibromuscular dysplasia or carotid web revealed by cerebral infarction: A review of 2 cases

  • Ibrahima Faye, MD,
  • Ahmadou Bamba Mbodji, MD,
  • Fallou Galass Niang, MD,
  • Ndeye Rokheya Diop, MD,
  • Ndiamé Sarr, MD,
  • Badara Diop, MD,
  • Tene Nde Armel Franck, MD,
  • Abdoulaye Ndoye Diop, PhD

Journal volume & issue
Vol. 18, no. 8
pp. 2545 – 2548

Abstract

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Atypical fibromuscular dysplasia of the bulb or carotid web is a nonatheromatous pathology more common in African and African-American populations. It is implicated in the occurrence of cerebral infarcts of unknown causes. Its diagnosis is made by angio-CT of the supra-aortic trunks and is characterized by a defect in the posterior wall of the bulb. Treatment with antiplatelet agents prevents the occurrence of stroke, but radical treatment remains surgical and endovascular. We report 2 observations of carotid web diagnosed and medically managed at the regional hospital of Saint Louis.

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