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

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 arteriogra...

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Detalles Bibliográficos
Autores principales: Watanabe, Masaki, Mori, Takahisa, Imai, Keisuke, Izumoto, Hajime, Hirano, Teruyuki, Uchino, Makoto
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2737801/
https://www.ncbi.nlm.nih.gov/pubmed/19830227
http://dx.doi.org/10.4076/1752-1947-3-8389
Descripción
Sumario: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.

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