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 | |
| Publication status | Published - 2016 Jan 1 |
Keywords
- Acute stroke
- Cancer
- Carotid ultrasound
- Chemotherapy
ASJC Scopus subject areas
- Internal Medicine
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Ando, D., Kobayashi, J., Kuroda, H., & Aoki, M. (2016). Cancer-related stroke due to mural thrombus in the extracranial carotid artery. Internal Medicine, 55(11), 1497-1499. https://doi.org/10.2169/internalmedicine.55.6013