Isolated Internal Carotid Artery Thrombus and Cerebral Infarction in a Patient with Necrotizing Pancreatitis: Case Report.

Autor: Ludwig DR; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri. Electronic address: ludwigd@wustl.edu., Austin MJ; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri., Wallace AN; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri., Kamran M; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri., Kansagra AP; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri; Department of Neurosurgery, Washington University School of Medicine, Saint Louis, Missouri., Osbun JW; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri; Department of Neurosurgery, Washington University School of Medicine, Saint Louis, Missouri., Cross DT; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri; Department of Neurosurgery, Washington University School of Medicine, Saint Louis, Missouri., Moran CJ; Mallinckrodt Institute of Radiology, Washington University School of Medicine, Saint Louis, Missouri; Department of Neurosurgery, Washington University School of Medicine, Saint Louis, Missouri.
Jazyk: angličtina
Zdroj: Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [J Stroke Cerebrovasc Dis] 2018 Jan; Vol. 27 (1), pp. e1-e4. Date of Electronic Publication: 2017 Oct 12.
DOI: 10.1016/j.jstrokecerebrovasdis.2017.08.012
Abstrakt: Isolated internal carotid artery (ICA) thrombus in the absence of underlying atherosclerotic disease is a rare entity. We report a case of a patient presenting with right arm weakness, slurred speech, and altered mental status in the setting of acute on chronic pancreatitis. The patient was found to have scattered left cerebral hemisphere cortical infarctions, and catheter angiography confirmed the presence of intraluminal left ICA thrombus, with no evidence of atherosclerotic disease in the cervical or intracranial vasculature. Further workup also demonstrated the presence of anemia of chronic disease. The patient was initiated on anticoagulation, and follow-up imaging demonstrated a complete resolution of the left ICA thrombus. In the reported case, coagulopathy in the setting of acute on chronic pancreatitis was presumably the primary etiology. Anemia of chronic disease, related to a proinflammatory state, may also play a contributory role.
(Copyright © 2018 National Stroke Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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