title: A case of internal carotid thrombus associated with brain infarction.
abstract: A 49-year-old man was transferred to our hospital with chief complaint of global aphasia and weakness of right upper and lower limbs. Brain MRI showed ultra-acute cerebral infarction in left anterior cerebral artery and middle cerebral artery territory and MRA showed occlusion of A2 and M2. Although t-PA was administrated intravenously, symptoms didn't improve and giant internal carotid thrombus (size 6 × 7 × 17 mm) was recognized at left internal carotid artery by carotid ultrasonography. After started anticoagulant therapy, thrombus was miniaturized gradually and finally disappeared. Anticoagulant therapy is effective to internal carotid thrombus and carotid ultrasonography is useful to confirm the effectiveness. We suggest that clinicians should enforce anticoagulant therapy for the first choice to internal carotid thrombus.
authors.affiliation: Department of Cerebrovascular Medicine, Saga-ken Medical Centre Koseikan.
authors.forename: Shota
authors.initials: S
authors.lastname: Sakai
authors.forename: Takeshi
authors.initials: T
authors.lastname: Uwatoko
authors.forename: Koji
authors.initials: K
authors.lastname: Ishitsuka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sugimori
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage; D020520:Brain Infarction / Q000150:complications* / Q000000981:diagnostic imaging*; D002341:Carotid Artery Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014463:Ultrasonography; D014859:Warfarin / Q000008:administration & dosage
chemical_list: D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin