Distal migration of a floating carotid thrombus in a patient using oral contraceptives: A case report

被引：4
|
作者：
Watanabe M. [1 ,2 ]
Mori T. [1 ]
Imai K. [1 ]
Izumoto H. [1 ]
Hirano T. [2 ]
Uchino M. [2 ]
机构：
[1] Department of Stroke Treatment, Shonan Kamakura General Hospital, Kamakura, Kanagawa
[2] Department of Neurology, Graduate School of Medical Sciences, Kumamoto University School of Medicine, Kumamoto
来源：
Journal of Medical Case Reports | / 3卷 / 1期
关键词：
Carotid Stenosis; Carotid Artery Stenting; Left Middle Cerebral Artery; Carotid Duplex Sonography; Ethynodiol;
D O I：
10.4076/1752-1947-3-8389
中图分类号：
学科分类号：
摘要：
Introduction: We report the case of a patient with distal migration of a floating carotid thrombus caused by oral contraceptives. Case presentation. A 48-year-old woman using oral contraceptives suffered from dysarthria and gait disturbance. Examinations, including ultrasound and cerebral arteriogram, revealed a floating thrombus at the left carotid bifurcation with no stenosis. Despite antithrombotic therapy, the floating carotid thrombus migrated to the ipsilateral middle cerebral artery, resulting in a severe stroke. Conclusion. Some floating thrombi are resistant to conservative therapy and have a risk of distal migration, which may cause a major stroke in the acute stage. © 2009 licensee BioMed Central Ltd.
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