Introduction Carotid web (CaW) is an underrecognized variant of fibromuscular disease increasingly implicated in cryptogenic ischemic stroke. Several morphologic features, including lesion length, proximal angulation, and pocket size, have been associated with symptomatic presentation. However, no pragmatic prediction score has been validated to stratify asymptomatic patients. Methods We performed a cross-sectional analysis of a prospectively maintained database of CaW cases collected between 20