Partial acute thrombosis of internal carotid artery: a case report.
OBJECTIVE
The effectiveness of the urgent carotid TEA in patients with not stabilizes serious neurological symptoms, remains controversial.


METHODS
The authors report on a case of a partial acute carotid thrombosis. The patient had outcomes of pulmonary tumor dealt with surgical removal of the medium right lobe. At admission, the neurological examination evidenced non specific neurological deficits to both the advanced limbs above all. The blood test evidenced 628000 platelets. The color-doppler showed in the internal carotid artery of right the presence of floating thrombus, during very small fibro-calcified plate, likely ulcerated.


RESULTS
The patient was submitted to surgical urgent procedure without ulterior diagnostic deepening. Such attitude was justified from the total regression of the symptomatology and from the absence of alterations of the BEE.


CONCLUSIONS
The urgent surgical treatment has had good outcome. In literature there are similar cases but not place upon ones because of "aetiology" to the inner presence of floating thrombus in carotid not completely occluding in all and the three cases, causes do not correspond from alters platelet parameters, but thrombus was of cardiogenic origin in one case, it was caused by hormonal therapy for sterility in the second, there was thrombosis of carotid aneurysm in third.


CONCLUSIONS
We remark the importance of eco-color Doppler for urgent diagnosis of acute thrombosis, and timeliness of surgical treatment in the "acute" patient with attenuation or regression of the debut symptomatology.
Angelini
R
R
U.O. di Chirurgia Vascolare, Ospedale Clinicizzato SS. Annunziata, Chieti.
Rutolo
E
E
Damario
V
V
Spigonardo
E
E
D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D002343:Carotid Artery, Internal; D016894:Endarterectomy, Carotid / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color