Document Detail

An uncommon case of spontaneous resolution of mural thrombus causing symptomatic severe stenosis of the extracranial part of the internal carotid artery.
MedLine Citation:
PMID:  17426797     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Etiology of ischemic stroke(IS) remains sometimes unexplained in younger subjects. Its well-known causes are atherosclerosis(AS), embolization, arterial dissection, congenital defects, vasculitides, smoking, use of oral contraceptives, coagulopathy and arterial dissection, or vasospasm. CASE REPORT: A 54-year old male subject was examined because of motor disturbance in his left upper extremity. Computerized tomography(CT) of the brain did not detect any focal pathological changes. Utrasonographic(USG) examination revealed severe stenosis of the right internal carotid artery(ICA) caused by hypoechogenic material, the blood velocity beyond the stenosis was 240 cm/s. The USG finding was confirmed by digital subtraction angiography (DSA). Based on the results of these examinations, an acute carotid endarterectomy (CEA) was indicated. During CEA the vascular surgeon observed patency of the ICA with only small calcified AS plaque on its posterior side. Ultrasonographic examination, performed on the 5(th) day, showed a small calcified AS plaque on the posterior side of the right ICA. CONCLUSION: In conclusion, if we exclude the possibility of a false positivity of 2 imaging methods at once, we have encountered a very unusual case of SR of stenosing material in the extracranial part of the ICA, initially causing its severe stenosis manifesting by acute neurological symptomatology. The mechanism of this SR remains unclear and the problem should be further studied, preferably using less invasive AG methods.
Milan Labonek; Daniel Sanak; Roman Herzig; Stanislav Burval; Petr Bachleda; Ivanka Vlachova; Petr Hlustik; Petr Kanovsky
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Biomedical papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia     Volume:  150     ISSN:  1213-8118     ISO Abbreviation:  Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2007-04-11     Completed Date:  2008-03-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140142     Medline TA:  Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub     Country:  Czech Republic    
Other Details:
Languages:  eng     Pagination:  299-302     Citation Subset:  IM    
Stroke Center, Departments of Neurology, University Hospital, Olomouc, Czech Republic.
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MeSH Terms
Brain Ischemia / complications*,  diagnosis
Carotid Artery, Internal* / surgery
Carotid Stenosis / complications*,  surgery
Endarterectomy, Carotid*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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