급성 심장성뇌경색 환자에서 관찰된 경동맥혈전의 독특한 이중초음파소견

• Published in: Journal of stroke pp. 156 - 159
• Main Authors: 이영현, 양지혜, 손영민, 김범생, 조아현
• Format: Journal Article
• Language: Korean
• Published: 대한뇌졸중학회 01.12.2012
• Subjects: 신경과학
• ISSN: 1229-4101; 2287-6405
• DOI: 10.5853/kjs.2012.14.3.156

In patients with acute ischemic stroke, carotid duplex ultrasonography has been used to assess atherosclerotic lesions at the extracranial carotid artery. We reported a unique sonographic finding of carotid artery thrombus in a patient with acute cardioembolic stroke and atrial fibrillation. An 81-year-old woman with atrial fibrillation was presented with dysarthria and left side hemiparesis. She had undergone surgical thrombectomy and angioplasty for her right brachial artery occlusion four days before the stroke onset. Diffusion-weighted MRI revealed multiple territorial infarctions suggestive of acute cardio-embolic stroke. CT angiography showed an occlusion of the right common carotid artery. On B-mode ultrasonography, longitudinal intraluminal tortuous cylinderic oscillating thrombus was observed on the right distal common carotid artery to the proximal internal carotid artery. This case illustrates a unique ultrasonographic finding of acute cardiogenic thrombus in the extracranial carotid artery. KCI Citation Count: 0