Histopathological Examination of a Symptomatic Carotid Web: A Case Report
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- ARAI Yukika
- Department of Neurosurgery, Shuuwa General Hospital
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- CHO Junshi
- Department of Neurosurgery, Shuuwa General Hospital
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- FUJINO Asuka
- Department of Neurosurgery, Shuuwa General Hospital
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- TAIRA Naoki
- Department of Neurosurgery, Shuuwa General Hospital
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- KUNIEDA Junko
- Department of Pathology, Tokyo Medical and Dental University
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- KOIKE Morio
- Department of Pathology, Shuuwa General Hospital
Abstract
<p>Carotid webs cause ischemic stroke in young people and are associated with a high rate of stroke recurrence. Histopathological examination is crucial for clarifying the pathogenesis and mechanisms underlying the occurrence of carotid webs, although the mechanisms generally remain unclear. Here, we report a case of a symptomatic carotid web in a woman in her 50s who had a medical history of two ischemic strokes. She was diagnosed with a right carotid web and underwent carotid endarterectomy 18 days after the second stroke. Histopathological examination clearly revealed several phases of intimal hyperplasia. Furthermore, a thrombus attached to the carotid web showed invasion by fibroblasts and capillaries, and organization had begun. We presume that after the appearance of the carotid web, the thrombus formed by stagnant flow and became organized, causing the carotid web to grow and change in shape.</p>
Journal
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- NMC Case Report Journal
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NMC Case Report Journal 11 (0), 69-74, 2024-12-31
The Japan Neurosurgical Society
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Details 詳細情報について
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- CRID
- 1390580992759699200
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- ISSN
- 21884226
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- Text Lang
- en
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- Data Source
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- JaLC
- Crossref
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- Abstract License Flag
- Disallowed