%0 Journal Article
%T Carotid Web as a Cause of Ischemic Stroke in Sub-Saharan Africa: A Preliminary Monocentric Descriptive Study of 6 Cases Collected at the Fann Teaching Hospital (Senegal)
%A Ndiaga Matar Gaye
%A Alassane Mamadou Diop
%A Adjaratou Dieynabou Sow
%A Abdoul Salam Soumar¨¦
%A Didier Smadja
%A Moustapha Ndiaye
%A Sokhna Ba
%A Amadou Gallo Diop
%J World Journal of Cardiovascular Diseases
%P 133-139
%@ 2164-5337
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcd.2022.123014
%X <strong>Introduction:</strong><span style=\"font-family:Verdana;\"> Carotid web (CW), a rare and probably unknown arterial c</span><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\">ause of ischemic stroke (IS), is commonly reported in young black
patients, al</span><span style=\"font-family:Verdana;\">though most of the published
cases resided in a non-African country. We d</span><span style=\"font-family:Verdana;\">escribe the features of the
first six Senegalese cases diagnosed at the Neurology Department of the Fann
Teaching Hospital in Dakar. </span><b><span style=\"font-family:Verdana;\">Patients and Method: </span></b><span style=\"font-family:Verdana;\">It was a preliminary
retrospective and prospective study conducted at the </span><span style=\"font-family:Verdana;\">Neurology department of Fann teaching hospital (Dakar-Senegal). The s</span><span style=\"font-family:Verdana;\">ymptomatic
CW diagnosis was based on angioCT-scan of the neck arteries. The National
Institute of Health Stroke Scale (NIHSS) and the modified-Rankin Scale (mRS)
were used to assess the severity of the IS and the functional disability after
the event, respectively. </span><b><span style=\"font-family:Verdana;\">Results:</span></b><span style=\"font-family:Verdana;\"> CW was causing a left </span><span style=\"font-family:Verdana;\">sylvian infarction in 4 patients. The mean age of
the patients at the IS d</span><span style=\"font-family:Verdana;\">iagnosis was 41 ¡À 6 years with a sex ratio of 1.
The mean time to diagnosis of CW was 13 months. Smoking (1/6), hypertension
(1/6), and obesity (1/6) were the main vascular risk factors. The mean LDL
cholesterol level was 1.52 g/L ¡À 0.49. The mean initial NIHSS was 15 ¡À 6
(8-22). Half of the patients had a severe infarction (NIHSS ¡Ý 15). For
secondary prevention, half of the patients were treated with aspirin and the
other half with acenocoumarol. After 18 months ¡À 17 of follow-up, the mean mRS
score was 2 ¡À 1 (1-3). </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">CW is an unknown cause of IS in young
black patients. An early and appropriate multidisciplinary management could
help to reduce the risk of recurrences.</span></span>
%K Carotid Web
%K Sub-Saharan Africa
%K Senegal
%K AngioCT-Scan
%K Acenocoumarol
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=115806