Isolated carotid webs - An uncommon cause of recurrent strokes
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 1
Abstract
Carotid webs are an evolving diagnosis made more often now than before the advent of angiography The webs are defined as a small intimal outgrowth that forms an obstruction to the streamlined flow of blood in the carotid artery Angiographically they are defined as a filling defect seen in the bulb of the ICA just after the bifurcation of the ICA These webs by virtue of their disruption of the laminar flow of blood give rise to slow eddy currents that result in thrombosis and thromboembolismWe present a patient who complained of recurrent strokes who was investigated extensively elsewhere without result An angiogram of the carotid circulation showed a carotid intimal web at the posteromedial aspect of the ICA bulb just distal to the common carotid artery bifurcation The web was treated with an endovascular stent placement which collapsed the web and its pocket of eddy currents completely thereby eliminating the danger posed by itThe report highlights the difficult nature of diagnosis while looking at prevalence and incidence of webs in the carotid system The therapeutic options as well as prognosis in the short and long term are also addressed in the accompanying literature reviewKeywordsnbspCarotid webs Stroke Self expanding stent
Authors and Affiliations
Sibhi Ganapathy, Swaroop Gopal
Efficacy and tolerability of methyl phenidate and atomoxetine in children with attention deficit hyperactivity disorder –An open label randomized control trial from a tertiary care centre
Attention Deficit Hyperactivity Disorder is a commonly encountered problem in School aged Children. Recent studies have shown a significant improvement of symptoms with pharmacotherapy. We analyzed the effectiveness of M...
A study of median nerve cross sectional area in patients with mild to moderate idiopathic carpal tunnel syndrome
Introduction Carpal tunnel syndrome is the most common entrapment neuropathy and is caused by median nerve compression at the wrist as it passes through carpal tunnelAim To detect cross sectional area CSA of median nerve...
Profile of Children with Epilepsy in a Tertiary Care Center in North-West India
Objective of the study: The study was undertaken to see the age association, sex preponderance and pattern of epilepsy in North West India. Methodology: This is a prospective hospital based study conducted in a tertiary...
Lipomyelomeningocele: Controversies in management
Management of lipomyelomeningocele is one of the most discussed and controversial topic in recent years Till date there is no consensus on most appropriate mode of management for lipomyelomeningocele particularly in asym...
Extracranial and intracranial arterial stenoocclusive disease in acute ischemic stroke patients: A study from north India - Evaluation with MR angiography
Background: Asian, African, and Hispanic ancestry are at higher risk of intracranial atherosclerosis. In North America, extracranial carotid stenosis remains the most common vascular lesion in Caucasian. However the stud...