Free Floating Thrombus in Carotid Artery in a Patient with Recurrent Strokes.
We present a case of 72-year-old male with reported past medical history of recurrent transient ischemic attacks (TIAs) presenting with myriad of neurological symptoms. Patient was transferred from outlying hospital with complaints of right sided facial droop and dysarthria. Computed tomography angiography (CTA) showed high grade proximal left internal carotid artery (ICA) stenosis along with interesting finding of a free floating thrombus (FFT) in the left ICA. After discussion with the neurosurgical team, our case was treated conservatively with combination of antiplatelet therapy with Aspirin and anticoagulation with Warfarin without recurrence of TIAs or strokes on six-month follow-up.
Department of Internal Medicine, University of Illinois College of Medicine, OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL, USA.
Moni
0000-0002-8206-3405
M
Roy
Department of Internal Medicine, University of Illinois College of Medicine, OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL, USA.
Ashish Kumar
AK
Roy
Department of Internal Medicine, University of Illinois College of Medicine, OSF Saint Francis Medical Center, 530 NE Glen Oak Avenue, Peoria, IL, USA.
Jeffrey R
JR
DeSanto
Department of Cardiology, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Pontiac, MI, USA.
Murad
0000-0003-0946-5501
M
Abdelsalam