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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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
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author Watanabe, Masaki
Mori, Takahisa
Imai, Keisuke
Izumoto, Hajime
Hirano, Teruyuki
Uchino, Makoto
author_facet Watanabe, Masaki
Mori, Takahisa
Imai, Keisuke
Izumoto, Hajime
Hirano, Teruyuki
Uchino, Makoto
author_sort Watanabe, Masaki
collection PubMed
description 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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spelling pubmed-27378012009-10-14 Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report Watanabe, Masaki Mori, Takahisa Imai, Keisuke Izumoto, Hajime Hirano, Teruyuki Uchino, Makoto J Med Case Reports 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 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. BioMed Central 2009-07-14 /pmc/articles/PMC2737801/ /pubmed/19830227 http://dx.doi.org/10.4076/1752-1947-3-8389 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Watanabe, Masaki
Mori, Takahisa
Imai, Keisuke
Izumoto, Hajime
Hirano, Teruyuki
Uchino, Makoto
Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
title Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
title_full Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
title_fullStr Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
title_full_unstemmed Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
title_short Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
title_sort distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
topic Case report
url 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
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