Huge Free-Floating Thrombus in the Internal Carotid Artery Under Duplex Ultrasound Surveillance
| Autor: | Jie Qin, De-Lin Yu, Li-Hua Zhang, Lin-Jie Zhang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Ultrasound Magnetic resonance imaging 030204 cardiovascular system & hematology medicine.disease Magnetic resonance angiography 03 medical and health sciences 0302 clinical medicine medicine.artery cardiovascular system medicine cardiovascular diseases Neurosurgery Radiology Embolization Thrombus Internal carotid artery business 030217 neurology & neurosurgery Computed tomography angiography |
| Zdroj: | The Neurologist. 26:22-23 |
| ISSN: | 2331-2637 |
| DOI: | 10.1097/nrl.0000000000000296 |
| Popis: | Introduction Carotid free-floating thrombus (FFT) is an unusual finding in acute ischemic stroke. Atherosclerosis is the most common etiology of FFT formation. Case report Here we report a 42-year-old male patient admitted to our department with left temporal and parietal lobe ischemic stroke with normal magnetic resonance angiography. A huge FFT in the left internal carotid artery were found by duplex ultrasound. Acute thrombosis based on atherosclerotic plaque were considered as the reason of this embolization. The thrombus shrunk significantly under anticoagulation and antiplatelet treatment. Conclusions Evaluation of the intracranial vessel in the emergency is not enough and early carotid duplex ultrasound can help find of the FFT in time, which help to choose the early intervene by neurosurgeon. Early antithrombotic treatment can be a safe treatment option for reducing huge thrombus based on the nature of thrombus formation. Computed tomography angiography and high-resolution magnetic resonance imaging to certify the character of the plaque are recommended for plaque evaluation. |
| Databáze: | OpenAIRE |
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