Document Detail

Case report of a patient who underwent thrombolysis of a "silent" thrombus in the middle cerebral artery.
MedLine Citation:
PMID:  19430268     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Some stroke patients present with mild or absent measurable neurologic deficits in spite of a significant thromboembolic event. A thrombus in the distal region of the middle cerebral artery may have such a presentation. CT angiography in the acute phase helps to identify the culprit thrombus. Thrombolysis might be beneficial in these patients in spite of the lack of measurable neurologic deficits. We present a patient with a 'silent' thrombus in the middle cerebral artery.
CASE REPORT: A 70-year-old man presented with a history of fluctuating neurologic symptoms for 2 days. Neurologic examination at the time of presentation revealed no measurable deficits. CT angiography showed a thrombus in the M2 segment of the middle cerebral artery which was treated with intravenous thrombolysis. Patient did not have recurrence of symptoms after thrombolysis. MR angiogram a day after thrombolysis showed partial recanalization of the artery.
CONCLUSION: Some stroke patients with an intracranial thrombus may present with minimal or absent measurable neurologic deficits. CT angiography is a useful tool in identifying the thrombus. Intravenous thrombolysis may be beneficial in stroke patients presenting with a "silent" thrombus.
Titto T Idicula; Lars Thomassen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The neurologist     Volume:  15     ISSN:  2331-2637     ISO Abbreviation:  Neurologist     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-07-07     Revised Date:  2014-11-05    
Medline Journal Info:
Nlm Unique ID:  9503763     Medline TA:  Neurologist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  142-3     Citation Subset:  IM    
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MeSH Terms
Magnetic Resonance Angiography
Middle Cerebral Artery / pathology*
Stroke* / diagnosis,  etiology,  pathology
Thrombosis / complications,  pathology*
Tomography, X-Ray Computed

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