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Journal of Medical Case Reports

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Open Access 01-12-2009 | Case report

Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report

Authors: Masaki Watanabe, Takahisa Mori, Keisuke Imai, Hajime Izumoto, Teruyuki Hirano, Makoto Uchino

Published in: Journal of Medical Case Reports | Issue 1/2009

Abstract

Introduction

We report the case of a patient with distal migration of a floating carotid thrombus caused by oral contraceptives.

Case presentation

A 48-year-old woman using oral contraceptives suffered from dysarthria and gait disturbance. Examinations, including ultrasound and cerebral arteriogram, revealed a floating thrombus at the left carotid bifurcation with no stenosis. Despite antithrombotic therapy, the floating carotid thrombus migrated to the ipsilateral middle cerebral artery, resulting in a severe stroke.

Conclusion

Some floating thrombi are resistant to conservative therapy and have a risk of distal migration, which may cause a major stroke in the acute stage.

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Title: Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report
Authors: Masaki Watanabe
Takahisa Mori
Keisuke Imai
Hajime Izumoto
Teruyuki Hirano
Makoto Uchino
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: Journal of Medical Case Reports / Issue 1/2009
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.4076/1752-1947-3-8389

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Distal migration of a floating carotid thrombus in a patient using oral contraceptives: a case report

Abstract

Introduction

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case presentation

Conclusion

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