A case of internal carotid thrombus associated with brain infarction.
Rinsho Shinkeigaku
; 57(1): 14-20, 2017 01 31.
Article
in Ja
| MEDLINE
| ID: mdl-28025410
ABSTRACT
A 49-year-old man was transferred to our hospital with chief complaint of global aphasia and weakness of right upper and lower limbs. Brain MRI showed ultra-acute cerebral infarction in left anterior cerebral artery and middle cerebral artery territory and MRA showed occlusion of A2 and M2. Although t-PA was administrated intravenously, symptoms didn't improve and giant internal carotid thrombus (size 6 × 7 × 17â
mm) was recognized at left internal carotid artery by carotid ultrasonography. After started anticoagulant therapy, thrombus was miniaturized gradually and finally disappeared. Anticoagulant therapy is effective to internal carotid thrombus and carotid ultrasonography is useful to confirm the effectiveness. We suggest that clinicians should enforce anticoagulant therapy for the first choice to internal carotid thrombus.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carotid Artery Thrombosis
/
Brain Infarction
Type of study:
Diagnostic_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
/
Middle aged
Language:
Ja
Journal:
Rinsho Shinkeigaku
Year:
2017
Document type:
Article