ArticleJournal of medical case reports2026
Recurrent ischemic stroke caused by a carotid web: a case report.
Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundA carotid web (CW) is an uncommon, shelf-like intraluminal protrusion arising from the posterior wall of the carotid bulb. Histologically, it is considered a variant of fibromuscular dysplasia and has been increasingly recognized as a potential cause of cryptogenic ischemic stroke. However, its low prevalence and subtle imaging features often lead to diagnostic challenges, resulting in frequent under-recognition or misdiagnosis in clinical practice. CASE PRESENTATION: We report the case of a 49-year-old East Asian man who presented with a 13 h history of slurred speech, dizziness, and decreased responsiveness. Brain magnetic resonance imaging revealed an acute infarction in the left frontotemporal lobe. Despite standard antiplatelet therapy, the patient experienced a recurrent cerebral infarction 6 weeks later. Subsequent digital subtraction angiography (DSA) revealed a left carotid web, demonstrating severe stenosis with persistent contrast stagnation. The patient subsequently underwent carotid endarterectomy (CEA), during which the web and its adherent thrombus were completely excised. Postoperative imaging confirmed a patent carotid lumen, and no stroke recurrence was observed during the 1-year follow-up, during which the patient exhibited favorable neurological recovery.
conclusionsCEA serves as a definitive therapeutic approach for recurrent cerebral infarction secondary to symptomatic CW, enabling complete removal of the pathological substrate and anatomical restoration of the affected vessel. This case underscores the importance of recognizing CW as a potential etiology of recurrent ischemic stroke in patients without conventional cerebrovascular risk factors and highlights the role of comprehensive vascular imaging in facilitating timely diagnosis and individualized therapeutic decision-making.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.