Carotid Bulb Webs as a Cause of "Cryptogenic" Ischemic Stroke.

AJNR. American Journal of Neuroradiology
P I SajediP Raghavan

Abstract

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. A retrospective review of neck CTA studies in young patients with cryptogenic stroke over the past 6 years (n = 33) was performed to determine the prevalence of carotid webs compared with a control group of patients who received neck CTA studies for reasons other than ischemic stroke (n = 63). The prevalence of carotid webs in the cryptogenic stroke population was 21.2% (95% CI, 8.9%-38.9%). Patients with symptomatic carotid webs had a mean age of 38.9 years (range, 30-48 years) and were mostly African American (86%) and women (86%). In contrast, only 1.6% (95% CI, 0%-8.5%) of patients in the control group demonstrated a web. Our findings demonstrate a statistically significant association between carotid webs and ischemic stroke (OR = 16.7; 95% CI, 2.78-320.3; P = .01). Carotid webs exhibit a strong association with ischemic stroke, and their presence should be suspected in patients lacking other risk facto...Continue Reading

References

Jan 1, 1991·Stroke; a Journal of Cerebral Circulation·J C Morgenlander, L B Goldstein
May 1, 1981·Journal of Neurosurgery·F P WirthA P Russell
Jul 20, 2010·International Journal of Stroke : Official Journal of the International Stroke Society·Emmanuel TouzéPierre-François Plouin
Oct 6, 2010·Neurology·E M ArsavaUNKNOWN International Stroke Genetics Consortium
Feb 6, 2014·Stroke; a Journal of Cerebral Circulation·Ajay GuptaPina C Sanelli
Nov 2, 2014·Stroke; a Journal of Cerebral Circulation·Julien JouxStéphane Olindo
Aug 1, 2015·AJNR. American Journal of Neuroradiology·P M C ChoiB K Menon
Oct 17, 2015·AJNR. American Journal of Neuroradiology·J E LantosA Gupta
Dec 2, 2015·Journal of Radiology Case Reports·Winnie FuVimal Patel
Mar 1, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·A H ElmokademM C Hurley
Jul 15, 2016·Neurology·Jonathan M CoutinhoDaniel M Mandell
Nov 20, 2016·Neurology·Jonathan M CoutinhoDaniel M Mandell

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Citations

Oct 12, 2017·Stroke; a Journal of Cerebral Circulation·Diogo C HaussenRaul G Nogueira
Dec 21, 2018·Stroke; a Journal of Cerebral Circulation·Andrew J ZhangChristopher Streib
Oct 27, 2018·BJR Case Reports·Hannah SmythSean Murphy
Dec 14, 2018·Journal of Neurosurgery·Giovanni G VercelliGiuseppe Lanzino
Feb 12, 2020·Neurology. Clinical Practice·Christopher R PasarikovskiVictor X D Yang
Aug 25, 2019·Clinical Neuroradiology·José Ricardo VanzinLuciano Bambini Manzato
Apr 16, 2020·Clinical Neuroradiology·F DrescherS Fischer
Aug 31, 2020·Journal of Atherosclerosis and Thrombosis·Tomohisa Nezu, Naohisa Hosomi
Mar 28, 2019·Frontiers in Neurology·Thomas P MadaelilDiogo C Haussen
Mar 5, 2020·Neurology India·Hongwei LiuWeirong Li
Jan 19, 2019·AJNR. American Journal of Neuroradiology·H HuY Zhao
Sep 9, 2020·Journal of Medical Case Reports·Bin NingWen He
May 17, 2018·Interventional Neurology·Waleed BrinjikjiVitor M Pereira
Oct 20, 2020·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Sara HassaniDiogo C Haussen
Mar 15, 2020·Journal of Neuroradiology. Journal De Neuroradiologie·John C BensonWaleed Brinjikji
Jan 13, 2021·Scientific Reports·Joseph M DardickCharles Esenwa
Jan 8, 2021·BMC Medical Imaging·Man Gao, Jing Lei
Sep 6, 2020·Journal of Vascular Surgery·Sébastien MultonDominique Fabre
Mar 17, 2021·Journal of Neurointerventional Surgery·Ehizele M OsehoboDiogo C Haussen
Apr 20, 2021·Acta neurochirurgica·Rogelio EsparzaErez Nossek
Nov 7, 2020·Annals of Vascular Surgery·Ottavia BorgheseIsabelle Di Centa
May 11, 2021·JAMA Neurology·Valeria GuglielmiUNKNOWN MR CLEAN trial and MR CLEAN Registry Investigators
Jun 10, 2021·Journal of Stroke·Stephane OlindoJulien Joux
May 26, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·David LandzbergDiogo C Haussen
Jun 8, 2021·Journal of the Neurological Sciences·C TurpinatN Gaillard
Sep 30, 2019·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Song J KimDiogo C Haussen
Jun 28, 2021·Journal of the Neurological Sciences·Aurora SemeranoMichael Obadia
Jul 29, 2021·Journal of Neurointerventional Surgery·Charlie C ParkJason W Allen
Jul 30, 2021·World Neurosurgery·Taewoong BaeJaewoo Chung
Nov 30, 2021·The Journal of International Medical Research·JunTao YinJingzhe Han

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