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Acta Neurológica Colombiana

Print version ISSN 0120-8748On-line version ISSN 2422-4022


ROMERO, Camilo  and  UJUETA, David. Carotid web: "septo o banda carotidea": Two case reports. Acta Neurol Colomb. [online]. 2020, vol.36, n.4, pp.250-254.  Epub Jan 17, 2021. ISSN 0120-8748.

Carotid web is a term used to describe by images a vascular abnormality of development of the brachiocephalic system. It is an under-recognized cause of stroke, especially in young patients. Its frequency in the general population has not been determined and is associated with ischemic cerebrovascular events of embolic type. Two cases of symptomatic carotid web are reported, one manifested as a transient ischemic attack (TIA) and the other as a cerebral infarction. There is not an established optimal diagnostic method, MRI and CT angiography are presented as a good option and alternative to conventional angiography. Once the carotid web has been identified, the evidence is scarce regarding its management, there are some options such as antiplatelets, anticoagulation and invasive management with endarterectomy and stent placement, there is little information in Spanish literature on carotid web so we propose the term septo o banda carotidea to name this vascular abnormality.

Keywords : arterial carotid disease; fibromuscular dysplasia; magnetic resonance angiography; secondary prevention (MeSH).

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