Cerebral infarction in conjunction with patent foramen ovale and May-Thurner syndrome.
Stroke patients with paradoxical embolus mandate a search for deep venous thrombosis (DVT) in the lower extremities. Iliac vein compression, or May-Thumer syndrome, places certain patients at risk for development of DVT. The authors present 3 stroke patients with patient foramen ovale and paradoxical cerebral embolism, with demonstrated iliac vein compression as the presumed source of their embolus. May-Thumer syndrome should be considered a potential source of clot, as definitive therapy of this disorder can be curative.
Greer
D M
DM
Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, USA.
Buonanno
F S
FS
D000328:Adult; D002544:Cerebral Infarction / Q000175:diagnosis / Q000209:etiology*; D003251:Constriction, Pathologic; D003952:Diagnostic Imaging; D004617:Embolism / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D007084:Iliac Vein / Q000473:pathology; D008297:Male; D011247:Pregnancy; D013577:Syndrome