Case Reports in Neurology
Carotid Web-Like Intraplaque Flow Stasis Case Report: A Potential Novel Stroke Mechanism
By Joss Lines, Michael J. Waters and Timothy Kleinig.
Abstract
BACKGROUND Non-stenotic carotid atheromatous disease (SyNC) and carotid webs (CaW) are increasingly recognised aetiologies of ischaemic stroke. We present a potential novel stroke mechanism from non-stenotic carotid atheromatous disease. CASE PRESENTATION We report a 77-year-old patient with recurrent internal carotid artery-territory embolic strokes over a decade in the context of a non-stenotic, chronically ulcerated left internal carotid artery atherosclerotic plaque. Focal stasis within the ulcerated plaque was the probable mechanism, analogous to carotid web. CONCLUSION Stasis of flow within plaque ulceration may be a previously unrecognised stenting-responsive stroke mechanism, in both stenotic and non-stenotic carotid atherosclerosis.
Keywords
- Cerebrovascular and Carotid Artery Diseases
- Open access
Source
Published in Case Reports in Neurology. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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