Carotid Bulb Webs as a Cause of “Cryptogenic” Ischemic Stroke

Payam Sajedi, J.N. Gonzalez, Carolyn Cronin, Theresa Kouo, Andrew Steven, Jiachen Zhuo, Oluwatosin Thompson, Rudolph J. Castellani, Steven J. Kittner, Dheeraj Gandhi,

American Journal of Neuroradiology · 2017 · 143 citations · 14 references

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Abstract

BACKGROUND AND PURPOSE: Carotid webs are intraluminal shelf-like filling defects at the carotid bulb with recently recognized implications in patients with recurrent ischemic stroke. We sought to determine whether carotid webs are an under-recognized cause of "cryptogenic" ischemic stroke and to estimate their prevalence in the general population. MATERIALS AND METHODS: = 63). RESULTS: = .01). CONCLUSIONS: Carotid webs exhibit a strong association with ischemic stroke, and their presence should be suspected in patients lacking other risk factors, particularly African American women.

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