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allied
academies
March 14-16, 2019 | London, UK
12
th
International Conference on
8
th
International Conference on
Vascular Dementia and Dementia
Neurological Disorders and Stroke
Joint Event
&
Journal of Brain and Neurology | Volume 3
Isolated carotid webs – An uncommon cause of recurrent Strokes
Sibhi Ganapathy
and
Swaroop Gopal
Manipal Hospitals, India
C
arotid webs are an evolving diagnosis made more often
now, than before the advent of angiography. The webs
are defined as a small intimal outgrowth that forms an
obstruction to the streamlined flow of blood in the carotid
artery. Angiographically they are defined as a filling defect seen
in the bulb of the ICA just after the bifurcation of the ICA. These
webs by virtue of their disruption of the laminar flow of blood
give rise to slow eddy currents that result in thrombosis and
thrombo-embolism. We present a patient who complained of
recurrent strokes who was investigated extensively elsewhere
without result. An angiogram of the carotid circulation showed
a carotid intimal web at the posteromedial aspect of the ICA
bulb, just distal to the common carotid artery bifurcation. The
web was treated with an endovascular stent placement, which
collapsed the web and its pocket of eddy currents completely
thereby eliminating thedanger posedby it. The report highlights
the difficult nature of diagnosis while looking at prevalence
and incidence of webs in the carotid system. The therapeutic
options as well as prognosis in the short and long term are also
addressed in the accompanying literature review.
Speaker Biography
Sibhi Ganapathy finished his basic degree from the prestigious Christian Medical College
and Hospital Vellore in South India with distinction. He pursued a career in Neurosurgery
and Spine surgery which led him to the prestigious Manipal University where he trained
under the guidance of the renowned professor Girish Menon. He has since been working
in various centres of excellence in south India. He has conducted many workshops and
CME programmes involving Indian and International experts in Spine, Skull Base Surgery
and Paediatric Neurosurgery. He is an avid researcher and has more than 30 publications,
chapters in books and articles published in international peer reviews publications. He
is a member of various international organisations such as the medical council of India,
Neurological Society of India and the Walter Dandy Society. His interest in neurosurgery
is primarily dedicated to functional Neurosurgery for Movement Disorders, as well as
Vascular Neurosurgery and Stroke Prevention.
e:
sibhig@yahoo.co.uk