Radiology Case Reports (Oct 2022)

Recurrent stroke in young adults caused by atypical fibromuscular carotid dysplasia

  • Yahya Charifi, MD,
  • Siham Bouchal, PhD,
  • Ghita Sekkat, MD,
  • Farid Aassouani, MD,
  • Nizar El Bouardi, PhD,
  • Meryem Haloua, PhD,
  • Badreeddine Alami, PhD,
  • Meryem Boubbou, PhD,
  • Mohamed Faouzi Belahsen, PhD,
  • Mustapha Maaroufi, PhD,
  • Moulay Youssef Alaoui Lamrani, PhD

Journal volume & issue
Vol. 17, no. 10
pp. 4034 – 4042

Abstract

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Background: Carotid Web and focal carotid diaphragm are atypical fibromuscular dysplasia. The bilateral stroke due to this dysplasia is extremely rare. We will report a series of three young patients, admitted for a bilateral ischemic stroke caused by carotid bulb web and internal carotid diaphragm. Also, we will discuss their manifestations and treatment modalities. Case presentations: In our study, we will report a series of three North African patients, two females an one male, at the mean age of 37, admitted for an ischemic stroke caused by bilateral carotid bulb web and bilateral internal carotid diaphragm.All of our patients were young and didn't have a history of drug use. Conclusions: In our series, only end-vascular treatment was performed which was necessary to prevent any recurrence. Antiplatelet therapy was used in all cases to prevent any stroke during the follow-up.

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