Carotid web

Case contributed by Dr Corey Thompson

Presentation

Unsteady gait with weakness on walking and altered sensation left side of face. Right carotid bruit.

Patient Data

Age: 65 years
Gender: Female
CT

CTA Carotids

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.

CT

Zoomed Key Image

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.

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Case information

rID: 73852
Published: 25th Jan 2020
Last edited: 30th Jul 2020
System: Vascular
Inclusion in quiz mode: Included

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