title: Mucor Thrombus.
abstract: BACKGROUND
  To describe a rare presentation of ischemic stroke secondary to angioinvasive mucormycosis and endovascular retrieval of mycotic thrombus with stenting of the compressed vessel.
  
  
  METHODS
  We report a case of angioinvasive mucormycosis that externally compressed and invaded the internal carotid artery causing ischemic cerebral infarction. A sample of the thrombus was obtained using a stent retriever. Subsequent pathological analysis was shown to be consistent with the diagnosis of angioinvasive mucormycosis. The thrombosed and compressed segment was recanalized with the deployment of a stent.
  
  
  CONCLUSIONS
  The endovascular placement of an expandable stent in the setting of angioinvasive mucormycosis restored good cerebral blood flow in a proximal internal carotid artery occlusion. The patient's aphasia resolved following this intervention. Artifacts of CT angiography may result in the overestimation of acute arterial occlusions. Endovascular carotid stenting may be a palliative measure in the setting of angioinvasive rhino-cerebro-orbital mucormycosis.
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. scharf.eugene@mayo.edu.
authors.forename: E L
authors.initials: EL
authors.lastname: Scharf
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: H J
authors.initials: HJ
authors.lastname: Cloft
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: E
authors.initials: E
authors.lastname: Wijdicks
mesh_terms: D020520:Brain Infarction / Q000209:etiology* / Q000601:surgery; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D008875:Middle Aged; D009089:Mucor; D009091:Mucormycosis / Q000150:complications* / Q000601:surgery; D015607:Stents; D013927:Thrombosis / Q000150:complications / Q000209:etiology* / Q000601:surgery