Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Ultrasound in free-floating thrombus of the carotid artery: the best diagnostic tool to detect this under estimated condition?

Ultrasound in free-floating thrombus of the carotid artery: the best diagnostic tool to detect... Acta Neurol Belg (2014) 114:65–66 DOI 10.1007/s13760-012-0149-3 N E URO- IMA G ES Ultrasound in free-floating thrombus of the carotid artery: the best diagnostic tool to detect this under estimated condition? • • • Nicola Morelli Eugenia Rota Marco Spallazzi • • Lucia Mazza Emanuele Michieletti Donata Guidetti Received: 17 September 2012 / Accepted: 10 October 2012 / Published online: 31 October 2012 Belgian Neurological Society 2012 A 102-year-old woman with unremarkable medical history presented to our institution with left sided hemiparesis, of two day duration (NIHSS = 5). EKG, blood and urine tests, including coagulation parameters, were within nor- mal limits. Brain computed tomography (CT) revealed an ischemic lesion in the right middle cerebral artery territory. Duplex ultrasound of the cervical vessels evidenced a hyperechoic mobile thrombus, moving in cyclical motion with the cardiac cycles, attached to the arterial wall in the right internal carotid artery extending to common carotid artery (Fig. 1a, b and video as supplemental material on web-page) and reverberating/oscillating flow was observed on Doppler spectral analysis (Fig. 1c), suggestive of a free- floating thrombus (FFT). Extensive coagulation studies Fig. 1 Longitudinal B-mode sonography of right internal and common carotid arteries shows a homogeneous hyperechoic http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acta Neurologica Belgica Springer Journals

Ultrasound in free-floating thrombus of the carotid artery: the best diagnostic tool to detect this under estimated condition?

Download PDF
2 pages

Loading next page...
 
/lp/springer-journals/ultrasound-in-free-floating-thrombus-of-the-carotid-artery-the-best-AH8WfJ0ajH
Publisher
Springer Journals
Copyright
Copyright © 2012 by Belgian Neurological Society
Subject
Biomedicine; Neurosciences; Neurology; Neuroradiology; Medicine/Public Health, general
ISSN
0300-9009
eISSN
2240-2993
DOI
10.1007/s13760-012-0149-3
pmid
23111779
Publisher site
See Article on Publisher Site

Abstract

Acta Neurol Belg (2014) 114:65–66 DOI 10.1007/s13760-012-0149-3 N E URO- IMA G ES Ultrasound in free-floating thrombus of the carotid artery: the best diagnostic tool to detect this under estimated condition? • • • Nicola Morelli Eugenia Rota Marco Spallazzi • • Lucia Mazza Emanuele Michieletti Donata Guidetti Received: 17 September 2012 / Accepted: 10 October 2012 / Published online: 31 October 2012 Belgian Neurological Society 2012 A 102-year-old woman with unremarkable medical history presented to our institution with left sided hemiparesis, of two day duration (NIHSS = 5). EKG, blood and urine tests, including coagulation parameters, were within nor- mal limits. Brain computed tomography (CT) revealed an ischemic lesion in the right middle cerebral artery territory. Duplex ultrasound of the cervical vessels evidenced a hyperechoic mobile thrombus, moving in cyclical motion with the cardiac cycles, attached to the arterial wall in the right internal carotid artery extending to common carotid artery (Fig. 1a, b and video as supplemental material on web-page) and reverberating/oscillating flow was observed on Doppler spectral analysis (Fig. 1c), suggestive of a free- floating thrombus (FFT). Extensive coagulation studies Fig. 1 Longitudinal B-mode sonography of right internal and common carotid arteries shows a homogeneous hyperechoic

Journal

Acta Neurologica Belgica – Springer Journals

Published: Oct 31, 2012

References

  • Free-floating thrombus of the carotid artery: literature review and case reports
    Bhatti, AF; Leon, LR; Labropoulos, N
  • Sonographic appearance of a free-floating atheromatous plaque in a patient with acute stroke
    Cho, YP; Kwon, TW; Kim, GE
  • Ischemic stroke and hyperhomocysteinemia: truth or myth?
    Terwecoren, A; Steen, E; Benoit, D