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Stroke, Vol 22, 94-98, Copyright © 1991 by American Heart Association

ARTICLES

Recurrent transient ischemic attacks and stroke in association with an internal carotid artery web

JC Morgenlander and LB Goldstein
Department of Medicine, Duke University Medical Center, Durham, NC 27710.

Fibromuscular dysplasia is a nonatherosclerotic vascular disease that most commonly affects cervical carotid arteries at the C1-C2 level when cephalic arteries are involved. Several histopathologic and angiographic subtypes of fibromuscular dysplasia exist; most have a benign natural history. We describe the third reported case of a pathologically proven, symptomatic proximal internal carotid artery web and suggest that patients with this lesion are at a higher risk for stroke.

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