J Korean Neurol Assoc.
2011 Aug;29(3):216-219.
Cerebral Embolism due to Thrombus in the Common Carotid Stump
- Affiliations
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- 1Department of Neurology, Catholic University of Daegu School of Medicine, Daegu, Korea.
- 2Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sukwon@amc.seoul.kr
Abstract
- The carotid stump is a known source of cerebral embolisms. Direct ultrasound sonographic visualization of a thrombus in the common carotid stump after development of a cerebral infarction is rare. We report a case of a 69-year-old man who presented with acute ipsilateral ischemic stroke with occlusion of the left common carotid artery, forming a stump proximal to the carotid bifurcation. Carotid duplex sonography revealed a mobile thrombus in the stump. An ipsilateral microembolic signal was observed by transcranial Doppler imaging.
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