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Case Reports in Medicine
Volume 2018, Article ID 3195679, 4 pages
https://doi.org/10.1155/2018/3195679
Case Report

A Rare Case of Carotid Web Presenting with Ischemic Stroke in a Young Woman and a Brief Review of the Literature

1Institute for Heart and Vascular Health, Renown Regional Medical Center, 1500 E. 2nd St. No. 302, Reno, NV 89502, USA
2Department of Internal Medicine, University of Nevada, Reno School of Medicine, 1155 Mill St. No. W11, Reno, NV 89502, USA
3Department of Biology, University of Nevada, Reno, 1664 N. Virginia Street, Reno, NV 89557, USA
4Department of Radiology, Renown Regional Medical Center, 1155 Mill St., Reno, NV 89502, USA

Correspondence should be addressed to Kyaw Kyaw; moc.liamg@dmwaykwaykrd

Received 12 October 2017; Revised 27 December 2017; Accepted 30 January 2018; Published 19 February 2018

Academic Editor: Simon Ching-Shun Kao

Copyright © 2018 Kyaw Kyaw et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Carotid web is a radiological description of a shelf-like intraluminal filling defect in the carotid bulb. It is histologically defined as atypical fibromuscular dysplasia (FMD), with abnormal fibrosis and smooth muscle cell hyperplasia in the tunica intima. The spur-like intraluminal protrusion can serve as a nidus for thrombus formation, which could cause systemic embolism and ischemic strokes. We report a case of a 20-year-old female patient presenting with acute ischemic stroke in the ipsilateral middle cerebral artery (MCA) territory. We also discuss the incidence, the prevalence, the pathophysiology, the treatment, and the recurrence of carotid web based on the currently available literature.