A large cardiogenic thrombus lodged at the carotid bifurcation mimicking severe carotid stenosis
- Author:
Min Jung Kim
;
Da-Hye Jeong
;
Hye-Hun Kang
;
Soo-Kyoung Kim
- Publication Type:Case Reports
- MeSH:
Carotid Arteries
- From:Neurology Asia
2016;21(1):81-84
- CountryMalaysia
- Language:English
-
Abstract:
A 62-year-old woman without vascular risk factors presented with left-sided weakness and numbness.
Magnetic resonance imaging (MRI) brain depicted acute right hemispheric infarcts in the cortical and
subcortical white matter. Initial MR angiography (MRA) showed large thrombus at the right carotid
bifurcation. Valvular atrial fibrillation (vAF) with severe tricuspid regurgitation (TR) was found on
two-dimensional echocardiography. Serial follow-up computed tomography angiography (CTA) or
MRA at 3, 9, and 15 days after anticoagulation alone showed complete resolution of the thrombus
with no neurological deterioration. Our case suggests that prompt institution of anticoagulantion alone
may result in radiologic resolution of the thrombus with improvement in patient’s clinical status.
- Full text:P020160405351721764431.pdf
