A carotid web is a rare, focal vascular malformation at the posterior wall of the carotid bulb, which can be associated with acute ischemic stroke, especially in young patients. Also, a carotid web is associated with a high risk of stroke recurrence, despite optimal antithrombotic therapy. Our patient is a 41‐year‐old, previously healthy female, with a symptomatic carotid web on the right carotid artery, which led to acute embolic ischemic lesions in the right insular and frontal juxtacortical regions. She had recurrent episodes of mild left‐sided hemiparesis and dysarthria, with complete spontaneous recovery. Extensive diagnostic procedures did not confirm any other cause of stroke except a symptomatic carotid web. She underwent stent placement, with no new vascular events, a normal neurological examination, and maintaining stent patency 1 year after the stroke onset. A carotid web is an important cause of stroke in young patients, potentially preventable by endovascular stent placement, alongside the best medical treatment.
Ivanovic et al. (Thu,) studied this question.