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.
引用
收藏
相关论文
共 50 条
  • [11] Treatment of floating thrombus with apixaban: report of a case
    Soto-Rincon, Carlos A.
    Gonzalez Aquines, Alejandro
    Castillo, Sergio A.
    Escobar-Valdivia, Emmanuel J.
    Garcia-Valadez, Erik A.
    Gongora-Rivera, Fernando
    NEUROLOGY, 2019, 92 (15)
  • [12] Floating Carotid Thrombus in a Patient With Essential Thrombocytemia due to Calreticulin Mutation
    Psychogios, Klearchos
    Kargiotis, Odysseas
    Safouris, Apostolos
    Repousis, Panagiotis
    Tsivgoulis, Georgios
    STROKE, 2023, 54 (05) : E207 - E208
  • [13] A Case of Internal Carotid Artery Occlusion Caused by En Bloc Distal Embolization of Carotid Free-Floating Thrombus Treated by Mechanical Thrombectomy
    Tatsuta, Yasuyuki
    Ogino, Tatsuya
    Matsuda, Megumi
    Okamura, Naoyasu
    Sakurai, Suguru
    Shindo, Koichiro
    Kamiyama, Kenji
    Osato, Toshiaki
    Nakamura, Hirohiko
    JOURNAL OF NEUROENDOVASCULAR THERAPY, 2022, 16 (02) : 93 - 99
  • [14] Free-floating thrombus of the carotid artery with a homozygous methylenetetrahydrofolate reductase gene mutation: a case report
    Colak, Necmettin
    Nazli, Yunus
    Kosehan, Dilek
    Alpay, Mehmet Fatih
    Cakir, Omer
    VASCULAR, 2013, 21 (01) : 35 - 38
  • [15] Surgical Thromboendarterectomy for Free-Floating Thrombus Associated with Cervical Carotid Artery Dissection: A Case Report
    Imahori, Taichiro
    Tanaka, Kazuhiro
    Arai, Atsushi
    Kohmura, Eiji
    ANNALS OF VASCULAR SURGERY, 2020, 68 : 572.e9 - 572.e14
  • [16] Is the Thrombus Truly Free-floating? A Case Report
    Demir, Kenan
    Avci, Ahmet
    Altunkeser, Bulent Behlul
    Ugras, Nevzat Serdar
    JOURNAL OF CLINICAL ULTRASOUND, 2014, 42 (04) : 252 - 255
  • [17] A rare floating thrombus in the ascending aorta: A case report
    Xiong, Jianxian
    Xie, Dilin
    Yu, Wenbo
    Yu, Junjian
    ASIAN JOURNAL OF SURGERY, 2024, 47 (05) : 2210 - 2211
  • [18] Case Report and Review of the Literature: Floating Aortic Thrombus
    Barbato, Vincenzo A.
    Castro, Robert
    Goertz, Aaron
    AMERICAN JOURNAL OF MEDICINE, 2014, 127 (05): : E3 - E4
  • [19] A giant floating thrombus in the ascending aorta: a case report
    Yang, Peng
    Li, Ya
    Huang, Yao
    Lu, Chen
    Liang, Weitao
    Hu, Jia
    BMC SURGERY, 2020, 20 (01)
  • [20] BILATERAL CAROTID ARTERY OCCLUSION IN A YOUNG ADULT - CLINICOPATHOLOGICAL REPORT OF A CASE ASSOCIATED WITH ORAL CONTRACEPTIVES
    MANDEL, MM
    STRIMEL, WH
    JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1969, 208 (01) : 145 - +
12345