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
  • [21] A giant floating thrombus in the ascending aorta: a case report
    Peng Yang
    Ya Li
    Yao Huang
    Chen Lu
    Weitao Liang
    Jia Hu
    BMC Surgery, 20
  • [22] Catching a floating thrombus; a case report on the treatment of a large thrombus in the ascending aorta
    Gijs Eduard de Maat
    Giorgio Vigano
    Massimo Alessandro Mariani
    Ehsan Natour
    Journal of Cardiothoracic Surgery, 12
  • [23] Catching a floating thrombus; a case report on the treatment of a large thrombus in the ascending aorta
    de Maat, Gijs Eduard
    Vigano, Giorgio
    Mariani, Massimo Alessandro
    Natour, Ehsan
    JOURNAL OF CARDIOTHORACIC SURGERY, 2017, 12
  • [24] Huge Free-Floating Thrombus in the Internal Carotid Artery Under Duplex Ultrasound Surveillance A Case Report
    Zhang, Lin-Jie
    Qin, Jie
    Zhang, Li-Hua
    Yu, De-Lin
    NEUROLOGIST, 2021, 26 (01) : 22 - 23
  • [25] Oral contraceptives/prednisoneFatal thromboembolism in a patient with repaired atrioventricular septal defect: case report
    Reactions Weekly, 2009, 1249 (1) : 33 - 33
  • [26] A Ticking Time Bomb: A Case of Floating Distal Aortic Arch Intraluminal Thrombus
    Ghoweba, Mohamed
    Gnasigamany, Jason
    Chiluveri, Madhu
    McClish, John
    CUREUS JOURNAL OF MEDICAL SCIENCE, 2022, 14 (12)
  • [27] Isolated Internal Carotid Artery Thrombus and Cerebral Infarction in a Patient with Necrotizing Pancreatitis: Case Report
    Ludwig, Daniel R.
    Austin, Matthew J.
    Wallace, Adam N.
    Kamran, Mudassar
    Kansagra, Akash P.
    Osbun, Joshua W.
    Cross, DeWitte T.
    Moran, Christopher J.
    JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2018, 27 (01): : E1 - E4
  • [28] Free-floating thrombus of the carotid artery: Literature review and case reports
    Bhatti, Ahmad F.
    Leon, Luis R., Jr.
    Labropoulos, Nicos
    Rubinas, Tara L.
    Rodriguez, Heron
    Kalman, Peter G.
    Schneck, Michael
    Psalms, S. Benn
    Biller, Jose
    JOURNAL OF VASCULAR SURGERY, 2007, 45 (01) : 199 - 205
  • [29] Pituitary Ischemic Apoplexy in a Young Woman Using Oral Contraceptives: A Case Report
    Kobayashi, Junpei
    Miyashita, Kotaro
    Tamanaha, Tamiko
    Kobayashi, Norikata
    Iihara, Koji
    Nagatsuka, Kazuyuki
    JOURNAL OF STROKE & CEREBROVASCULAR DISEASES, 2013, 22 (08): : E643 - E644
  • [30] Treatment of the newborn with a floating thrombus in the right atrium: case report
    Nurmeev, Ildar N.
    Kostromin, Artem A.
    Okoye, Bruce
    RUSSIAN OPEN MEDICAL JOURNAL, 2019, 8 (01)
12345