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Vessel Wall Imaging of a Carotid Web

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hyperintense signal on precontrast imaging suggested no vulnerable plaque components, such as intraplaque hemorrhage, and no intramural hematoma to suggest an arterial dissection. There was no surface irregularity with patchy… Click to show full abstract

hyperintense signal on precontrast imaging suggested no vulnerable plaque components, such as intraplaque hemorrhage, and no intramural hematoma to suggest an arterial dissection. There was no surface irregularity with patchy postcontrast enhancement to suggest an ulcerated plaque. The CTA appearance and enhancing septum with relative central hypo-enhancement inferiorly on VW-MRI was most consistent with a carotid web with thromboembolism distally leading to the right M2 occlusion.

Keywords: wall imaging; carotid web; imaging carotid; vessel wall

Journal Title: Annals of Neurology
Year Published: 2022

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