[Paradoxical embolism: a cause of cerebral stroke in the young subject].
We report the case of a 45 year old patient who presented ischemic stroke due to the migration of a sural thrombus through a patient foramen ovale (PFO) during a Valsalva manoeuvre. The presence of PFO should be systematically evoked in case of ischemic events, especially stroke in younger adults. The diagnosis is facilitated by two-dimensional contrast echography with intravenous administration of an echo-detectable contrast agent. The clinical context and the origin of the venous thrombus in a superficial vein which remained during a stripping procedure with migration through the communicating veins of the leg were exceptional.
Service de Médecine Interne et Pathologie Vasculaire, CHU Bretonneau, Tours.
E
E
Diot
V
V
Turot
V
V
Lesire
M
M
Philippot
L
L
Benmami
A
A
Legras
J L
JL
Guilmot
D005260:Female; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000150:complications*; D002546:Ischemic Attack, Transient / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D014463:Ultrasonography; D014636:Valsalva Maneuver