Presentation
Unsteady gait with weakness on walking and altered sensation left side of face. Right carotid bruit.
Patient Data
Small thin smooth eccentric filling defect centered at the posterior wall of the right internal carotid artery origin without significant stenosis is in keeping with a carotid web.
No large vessel occlusion or dissection.
Hypoplastic left A1.
Symmetric atherosclerotic disease of the carotid syphon (left worse than right) without significant stenosis.
Bovine aortic arch.
Arrow indicates right carotid web on oblique maximum intensity projection.
Case Discussion
Right internal carotid artery origin web without significant stenosis. These have the potential to be highly thrombogenic and a source of TIA and ischemic events.