Case reports in vascular medicine · 2020
Carotid Thrombosis in a Crack Cocaine Smoker Woman.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Cosenza Mattia, Panza Luigi, Califano Anna Paola, Defendini Carolina, D'Andria Maria, Romiti Roberto, Vainieri Antonio Fabio Massimo, Morelli Sergio
Аннотация
INTRODUCTION: We report a case of stroke in a crack smoker with occlusion of the middle cerebral artery and a large thrombus in the carotid artery. Case Presentation. A 34-year-old female presented with left upper arm weakness, associated with paresthesia with onset of symptoms more than 24 hours before. Angio-RM sequences showed an area of ischemia, with occlusion of the M2 segment of the middle cerebral artery. Carotid ultrasound showed a soft plaque with distal end floating. Anticoagulant treatment was started, and seriated ultrasound evaluations showed its gradual dissolution.
CONCLUSIONS: In atherothromboembolic stroke from carotid thrombosis, repeated ultrasound studies may be useful for either diagnosis and monitoring the efficacy of anticoagulant therapy.
CONCLUSIONS: In atherothromboembolic stroke from carotid thrombosis, repeated ultrasound studies may be useful for either diagnosis and monitoring the efficacy of anticoagulant therapy.