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Neurocritical Care

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01-04-2016 | Practical Pearl

Mucor Thrombus

Authors: E. L. Scharf, H. J. Cloft, E. Wijdicks

Published in: Neurocritical Care | Issue 2/2016

Abstract

Background

To describe a rare presentation of ischemic stroke secondary to angioinvasive mucormycosis and endovascular retrieval of mycotic thrombus with stenting of the compressed vessel.

Summary of Case

We report a case of angioinvasive mucormycosis that externally compressed and invaded the internal carotid artery causing ischemic cerebral infarction. A sample of the thrombus was obtained using a stent retriever. Subsequent pathological analysis was shown to be consistent with the diagnosis of angioinvasive mucormycosis. The thrombosed and compressed segment was recanalized with the deployment of a stent.

Conclusions

The endovascular placement of an expandable stent in the setting of angioinvasive mucormycosis restored good cerebral blood flow in a proximal internal carotid artery occlusion. The patient’s aphasia resolved following this intervention. Artifacts of CT angiography may result in the overestimation of acute arterial occlusions. Endovascular carotid stenting may be a palliative measure in the setting of angioinvasive rhino-cerebro-orbital mucormycosis.

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Title: Mucor Thrombus
Authors: E. L. Scharf
H. J. Cloft
E. Wijdicks
Publication date: 01-04-2016
Publisher: Springer US
Published in: Neurocritical Care / Issue 2/2016
Print ISSN: 1541-6933
Electronic ISSN: 1556-0961
DOI: https://doi.org/10.1007/s12028-015-0186-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mucor Thrombus

Abstract

Background

Summary of Case

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Summary of Case

Conclusions

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