Cerebral Embolism from Brachiocephalic Artery Thrombosis: A Case Report
10.3969/j.issn.1006-9771.2014.05.022
- VernacularTitle:头臂干血栓致脑栓塞1 例报道
- Author:
Jing DONG
1
;
Xin MA
1
;
Jingyuan QIE
1
Author Information
1. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
- Publication Type:Journal Article
- Keywords:
brachiocephalic trunk, thrombosis, cerebral embolism, cerebral infarction, ultrasonography
- From:
Chinese Journal of Rehabilitation Theory and Practice
2014;(5):481-484
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics, diagnosis and treatment of cerebral embolism from brachiocephalic artery thrombosis. Methods A case was reviewed with literature. Results Acute multiple cerebral infarctions were found in both right anterior and posterior circulation. Arterial floating thrombi with cyclic motion relating to cardiac cycles was found with transthoracic Doppler ultrasonography.Anticoagulation therapy played the major role in treatment. Conclusion Transthoracic Doppler ultrasonography is recommended in the suspicion of patients with typical clinical presentations in order to investigate the vascular conditions in the brachiocephllic trunk, and anticoagulation
therapy should be initiated immediately after the thrombi have been detected.