Surgical treatment of carotid web: one case report

Abstract

The patient was a middle-aged male with the recurrent transient ischemic attack caused by carotid web, and the common symptoms include recurrent left limb weakness and numbness. According to the results of the CT angiography, the digital substraction angiography, the magnetic resonance angiography and the colour-Doppler ultrasound of the neck, the patient was considered with carotid artery web. After conventional medical treatment such as anti-platelet aggregation, lipid regulation and improvement of cerebral circulation, the patient′s symptoms did not improve significantly. Later, the patient underwent carotid endarterectomy. The pathological examination results of the tissue from the surgery confirmed the patient with carotid artery web. Moreover, after surgery, the patient did not experience transient ischemic attack any more. Key words: Carotid web; Cerebral ischemia attack; Carotid endarterectomy