A case report of carotid web: A hidden fiend of stroke

Abstract

Web at the carotid bulb is overlooked in routine practice. Carotid web is to be thought of as the causative factor in the absence of major risk factors or in cryptogenic stroke and familiarity of this entity is important among the radiologists and treating physicians. We report a case of recurrent ischemic stroke in young man who presented with limb weakness despite best medical therapy without any risk factors. There was left middle cerebral artery infarct on computed tomography (CT) scan. The evaluation of the cause of his stroke revealed carotid web on CT angiogram which was further confirmed by digital subtraction angiography and treated by carotid stenting to prevent further episodes of stroke.

Keywords

• carotid web
• computed tomography angiogram
• large vessel occlusion
• recurrent stroke