Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke

BACKGROUND: Carotid web (CaW) and carotid free-floating thrombus (CFFT) are rare yet critical causes of ischemic stroke in young adults. CASE PRESENTATION: A 54-year-old woman presented with a fluctuating right sensory-motor faciobrachial syndrome. A brain MRI scan revealed multiple small recent asy...

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Autores principales: De Lorenzo, Alberto, Lazzarin, Serena Marita, Bertini, Alessandro, Divenuto, Ignazio, Marcheselli, Simona, Pensato, Umberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631111/
https://www.ncbi.nlm.nih.gov/pubmed/37940876
http://dx.doi.org/10.1186/s12883-023-03448-4
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author De Lorenzo, Alberto
Lazzarin, Serena Marita
Bertini, Alessandro
Divenuto, Ignazio
Marcheselli, Simona
Pensato, Umberto
author_facet De Lorenzo, Alberto
Lazzarin, Serena Marita
Bertini, Alessandro
Divenuto, Ignazio
Marcheselli, Simona
Pensato, Umberto
author_sort De Lorenzo, Alberto
collection PubMed
description BACKGROUND: Carotid web (CaW) and carotid free-floating thrombus (CFFT) are rare yet critical causes of ischemic stroke in young adults. CASE PRESENTATION: A 54-year-old woman presented with a fluctuating right sensory-motor faciobrachial syndrome. A brain MRI scan revealed multiple small recent asynchronous cortico-subcortical ischemic foci in the vascular territory of the left internal carotid artery. A CT angiography identified a CFFT in the left internal carotid artery arising from an underlying CaW. The patient was treated with excellent clinical outcomes with carotid artery stenting and dual antiplatelet therapy. CONCLUSIONS: We provide a structured pathophysiological rationale connecting CaW and CFFT and highlight pivotal therapeutic implications. Further studies are needed to investigate this relationship and guide assessment and treatment.
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spelling pubmed-106311112023-11-07 Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke De Lorenzo, Alberto Lazzarin, Serena Marita Bertini, Alessandro Divenuto, Ignazio Marcheselli, Simona Pensato, Umberto BMC Neurol Case Report BACKGROUND: Carotid web (CaW) and carotid free-floating thrombus (CFFT) are rare yet critical causes of ischemic stroke in young adults. CASE PRESENTATION: A 54-year-old woman presented with a fluctuating right sensory-motor faciobrachial syndrome. A brain MRI scan revealed multiple small recent asynchronous cortico-subcortical ischemic foci in the vascular territory of the left internal carotid artery. A CT angiography identified a CFFT in the left internal carotid artery arising from an underlying CaW. The patient was treated with excellent clinical outcomes with carotid artery stenting and dual antiplatelet therapy. CONCLUSIONS: We provide a structured pathophysiological rationale connecting CaW and CFFT and highlight pivotal therapeutic implications. Further studies are needed to investigate this relationship and guide assessment and treatment. BioMed Central 2023-11-08 /pmc/articles/PMC10631111/ /pubmed/37940876 http://dx.doi.org/10.1186/s12883-023-03448-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
De Lorenzo, Alberto
Lazzarin, Serena Marita
Bertini, Alessandro
Divenuto, Ignazio
Marcheselli, Simona
Pensato, Umberto
Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
title Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
title_full Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
title_fullStr Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
title_full_unstemmed Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
title_short Carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
title_sort carotid free-floating thrombus stemming from carotid web: co-occurrence of two rare causes of ischemic stroke
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10631111/
https://www.ncbi.nlm.nih.gov/pubmed/37940876
http://dx.doi.org/10.1186/s12883-023-03448-4
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