Cancer-related stroke due to mural thrombus in the extracranial carotid artery

Daisuke Ando; Junpei Kobayashi; Hiroshi Kuroda; Masashi Aoki

doi:10.2169/internalmedicine.55.6013

Cancer-related stroke due to mural thrombus in the extracranial carotid artery

Daisuke Ando, Junpei Kobayashi, Hiroshi Kuroda, Masashi Aoki

Research output: Contribution to journal › Article › peer-review

Abstract

A 41-year-old man was admitted to our hospital because of a cancer-related stroke (CRS) caused by a thrombus of the extracranial carotid artery. He had undergone neoadjuvant radiochemotherapy for metastatic colorectal adenocarcinoma. The serum D-dimer values were within the normal range. We treated him with intravenous unfractionated heparin followed by warfarin. There were no recurrent stroke events over six months. The leading cause of a CRS is an embolism caused by hypercoagulopathy, mainly represented by non-bacterial thrombotic endocarditis. However, it was unusual that, in the current case, a thrombus of the extracranial carotid artery was formed with no significant residual stenosis, thus resulting in an artery-toartery embolism.

Original language	English
Pages (from-to)	1497-1499
Number of pages	3
Journal	Internal Medicine
Volume	55
Issue number	11
DOIs	https://doi.org/10.2169/internalmedicine.55.6013
Publication status	Published - 2016

Keywords

Acute stroke
Cancer
Carotid ultrasound
Chemotherapy

ASJC Scopus subject areas

Internal Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.2169/internalmedicine.55.6013

Cite this

@article{44f3886c23714cfab82c29a0981f0a3b,

title = "Cancer-related stroke due to mural thrombus in the extracranial carotid artery",

abstract = "A 41-year-old man was admitted to our hospital because of a cancer-related stroke (CRS) caused by a thrombus of the extracranial carotid artery. He had undergone neoadjuvant radiochemotherapy for metastatic colorectal adenocarcinoma. The serum D-dimer values were within the normal range. We treated him with intravenous unfractionated heparin followed by warfarin. There were no recurrent stroke events over six months. The leading cause of a CRS is an embolism caused by hypercoagulopathy, mainly represented by non-bacterial thrombotic endocarditis. However, it was unusual that, in the current case, a thrombus of the extracranial carotid artery was formed with no significant residual stenosis, thus resulting in an artery-toartery embolism.",

keywords = "Acute stroke, Cancer, Carotid ultrasound, Chemotherapy",

author = "Daisuke Ando and Junpei Kobayashi and Hiroshi Kuroda and Masashi Aoki",

note = "Publisher Copyright: {\textcopyright} 2016 The Japanese Society of Internal Medicine.",

year = "2016",

doi = "10.2169/internalmedicine.55.6013",

language = "English",

volume = "55",

pages = "1497--1499",

journal = "Internal Medicine",

issn = "0918-2918",

publisher = "Japanese Society of Internal Medicine",

number = "11",

}

TY - JOUR

T1 - Cancer-related stroke due to mural thrombus in the extracranial carotid artery

AU - Ando, Daisuke

AU - Kobayashi, Junpei

AU - Kuroda, Hiroshi

AU - Aoki, Masashi

PY - 2016

Y1 - 2016

N2 - A 41-year-old man was admitted to our hospital because of a cancer-related stroke (CRS) caused by a thrombus of the extracranial carotid artery. He had undergone neoadjuvant radiochemotherapy for metastatic colorectal adenocarcinoma. The serum D-dimer values were within the normal range. We treated him with intravenous unfractionated heparin followed by warfarin. There were no recurrent stroke events over six months. The leading cause of a CRS is an embolism caused by hypercoagulopathy, mainly represented by non-bacterial thrombotic endocarditis. However, it was unusual that, in the current case, a thrombus of the extracranial carotid artery was formed with no significant residual stenosis, thus resulting in an artery-toartery embolism.

AB - A 41-year-old man was admitted to our hospital because of a cancer-related stroke (CRS) caused by a thrombus of the extracranial carotid artery. He had undergone neoadjuvant radiochemotherapy for metastatic colorectal adenocarcinoma. The serum D-dimer values were within the normal range. We treated him with intravenous unfractionated heparin followed by warfarin. There were no recurrent stroke events over six months. The leading cause of a CRS is an embolism caused by hypercoagulopathy, mainly represented by non-bacterial thrombotic endocarditis. However, it was unusual that, in the current case, a thrombus of the extracranial carotid artery was formed with no significant residual stenosis, thus resulting in an artery-toartery embolism.

KW - Acute stroke

KW - Cancer

KW - Carotid ultrasound

KW - Chemotherapy

UR - http://www.scopus.com/inward/record.url?scp=84971375793&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84971375793&partnerID=8YFLogxK

U2 - 10.2169/internalmedicine.55.6013

DO - 10.2169/internalmedicine.55.6013

M3 - Article

C2 - 27250060

AN - SCOPUS:84971375793

VL - 55

SP - 1497

EP - 1499

JO - Internal Medicine

JF - Internal Medicine

SN - 0918-2918

IS - 11

ER -

Cancer-related stroke due to mural thrombus in the extracranial carotid artery

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this