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Source: Journal of Stroke and Cerebrovascular Diseases
Condition: Thrombosis
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Total 415 results found since Jan 2013.
Atrial Cardiopathy Biomarkers and MRI-Based Infarct Patterns in Patients with Embolic Strokes of Undetermined Source
Embolic stroke of undetermined source (ESUS) refers to non-lacunar ischemic strokes without a well-recognized cardioembolic source or stenosis of a large vessel supplying the infarcted terroritory1 and accounts for 9-25% of all ischemic stroke cases.2 Although ESUS can be related to various potential sources of thromboembolism, the most prevalent embolic source seems to be the heart. Thus, ESUS may be more responsive to anticoagulant therapy than antiplatelet therapy.1 However, recent clinical trials have failed to confirm that oral anticoagulation lowers the risk of stroke recurrence, relative to aspirin.
Source: Journal of Stroke and Cerebrovascular Diseases - June 19, 2021 Category: Neurology Authors: Yoon-Kyung Lee, Byung-Cheol Gwak, Byeol-A Yoon, Dae-Hyun Kim, Jae-Kwan Cha Source Type: research
Late-onset cerebral embolism after transcatheter aortic valve implantation under direct oral anticoagulant therapy
We describe the case of a 92-year-old woman with delayed valve thrombosis causing stroke after TAVI, who developed recurrent strokes eight months after TAVI for severe aortic valve stenosis. Transesophageal echocardiography and cardiac computed tomography revealed a string-like thrombus attached to the implanted valve.
Source: Journal of Stroke and Cerebrovascular Diseases - April 28, 2022 Category: Neurology Authors: Shuhei Egashira, Takeshi Yoshimoto, Junpei Koge, Masafumi Ihara Tags: Case Report Source Type: research
Large vessel occlusions requiring repeated mechanical thrombectomy caused by silent myocardial infarction in a young adult
Silent myocardial ischemia is defined as objective evidence of myocardial ischemia despite the absence of symptoms.1 –3 Previous studies have reported that silent myocardial infarction (MI) is associated with ischemic stroke.4–6 However, silent MI is a rare cause of ischemic stroke in young adults. Additionally, to our knowledge, there are no reports of acute ischemic stroke (AIS) associated with silent MI of sufficient severity to require repeated mechanical thrombectomy (MT). Herein, we present a young adult AIS patient treated with repeated MT for recurrent large vessel occlusions (LVO) caused by a left ventricular ...
Source: Journal of Stroke and Cerebrovascular Diseases - September 10, 2022 Category: Neurology Authors: Daishi Yamaguchi, Hideki Endo, Kohei Ishikawa, Ryota Nomura, Koji Oka, Hirohiko Nakamura Source Type: research
Vertebral Artery Dissection in Rheumatoid Arthritis with Cervical Spine Disease
A 59-year-old woman with long-standing active rheumatoid arthritis presented with posterior circulation ischemic stroke after vertebral dissection. She had severe multilevel degenerative changes of her cervical spine. She did not have classic stroke risk factors nor evidence of atherosclerotic disease or other systemic diseases. The most likely mechanism appears to be injury of the artery wall by an osteophyte, causing dissection that resulted in thrombosis and subsequent embolic strokes.
Source: Journal of Stroke and Cerebrovascular Diseases - January 25, 2013 Category: Neurology Authors: Ritika Mahajan, Branko N. Huisa Tags: Case Reports Source Type: research
Decompressive Surgery for Malignant Cerebral Venous Sinus Thrombosis: A Retrospective Case Series from Pakistan and Comparative Literature Review
Conclusions: Patients who received decompressive hemicraniectomy in Pakistan for CVST had excellent outcomes in all cases when intervention was performed with intact preoperative pupillary reflexes. Of the data reviewed, most reported (two-third) patients show the same prognosticators; however, one third show that even with nonreactive pupils complete recovery is possible.
Source: Journal of Stroke and Cerebrovascular Diseases - October 11, 2013 Category: Neurology Authors: Emmon Raza, Muhammad Shahzad Shamim, Muhammad Faisal Wadiwala, Bilal Ahmed, Ayeesha Kamran Kamal Tags: Original Articles Source Type: research
Cerebral Infarction in a Case of Parry-Romberg Syndrome
Our objective is to report a rare coexistence of Parry-Romberg disease and ischemic stroke. Here, we report the case of a 34-year-old woman with Parry-Romberg syndrome who developed cerebral infarction. This patient developed sudden left-sided weakness and was admitted to our hospital. Magnetic resonance imaging revealed acute cerebral infarction in the posterior limb of the right internal capsule. The patient had been diagnosed with Parry-Romberg syndrome at the age of 12, and she had a history of migraine without aura. Transesophageal echocardiography revealed a patent foramen ovale, but no atrial septal aneurysm or deep...
Source: Journal of Stroke and Cerebrovascular Diseases - May 9, 2013 Category: Neurology Authors: Yuji Tomizawa, Ryota Tanaka, Kiyoshi Sekiguchi, Yutaka Oji, Yasutaka Tanaka, Kazuo Yamashiro, Nobutaka Hattori Tags: Case Reports Source Type: research
Profile of Patients with Cerebral Venous Sinus Thrombosis with Cerebellar Involvement
Conclusions: Cerebellar involvement in CVT is very rare, and high index of suspicion is required for diagnosis. Imaging with CT and MRI will help in confirming the diagnosis. Conventional anticoagulation is effective in treatment. Mortality was 33%, and there was no disability in survivors.
Source: Journal of Stroke and Cerebrovascular Diseases - November 14, 2013 Category: Neurology Authors: Girish B. Kulkarni, Veerendrakumar Mustare, Mirza M. Abbas Tags: Original Articles Source Type: research
Reappearance of Free-floating Carotid Thrombus after Discontinuation of Anticoagulant Therapy
A 73-year-old woman who suddenly developed left hemiparesis was admitted to our hospital. Ultrasonography on admission showed a free-floating thrombus (FFT) attached to an ulcerative plaque in the right common carotid artery. The FFT almost disappeared during treatment with intravenous anticoagulation therapy for acute stroke, but it reappeared when the therapy was discontinued. She underwent endarterectomy on day 13, after which she was free from stroke recurrence.
Source: Journal of Stroke and Cerebrovascular Diseases - October 15, 2014 Category: Neurology Authors: Masaki Naganuma, Yuichiro Inatomi, Osamu Kobayashi, Toru Nishi, Toshiro Yonehara, Yukio Ando Tags: Case Report Source Type: research
Susceptibility Vessel Sign for Intra-arterial Thrombus in Acute Posterior Cerebral Artery Infarction
Susceptibility vessel sign (SVS) on susceptibility-weighted imaging (SWI) has a high sensitivity and specificity to detect the intra-arterial thrombus in anterior circulation stroke. However, SVS has not been evaluated in posterior circulation stroke.
Source: Journal of Stroke and Cerebrovascular Diseases - April 20, 2015 Category: Neurology Authors: Min-Gyu Park, Chang Hyo Yoon, Seung Kug Baik, Kyung-Pil Park Source Type: research
Re: “Report of Dramatic Improvement after a Lumboperitoneal Shunt Procedure in a Case of Anticoagulation Therapy-Resistant Cerebral Venous Thrombosis”
In this report, Torikoshi et al present a patient admitting with intracranial hypertension symptoms secondary to CVST.
Source: Journal of Stroke and Cerebrovascular Diseases - March 29, 2016 Category: Neurology Authors: Halil Onder, Yasemin Gursoy Ozdemir Tags: Letter to the Editor Source Type: research
Successful Intra-arterial Stent Thrombectomy in acute infarction caused by spontaneous middle cerebral artery dissection
Spontaneous middle cerebral artery dissection could result in thromboembolic stroke caused by the intramural hematoma. Dissection should be considered as a possible etiology in young- age stroke patient, but it is not straightforward in emergent situation. Moreover, the efficacy and safety of thrombolytic treatment in acute stage are unknown. We applied intravenous and intra-arterial stent thrombectomy with Solitaire device successfully in a patient with acute left middle cerebral artery occlusion due to spontaneous dissection.
Source: Journal of Stroke and Cerebrovascular Diseases - March 18, 2017 Category: Neurology Authors: Gyusik Kim Source Type: research
Repeated Mechanical Thrombectomy in the Same Intracranial Artery Segment
We report a patient with an important scenario that may arise in the management of an acute ischemic stroke: the need for a repeated mechanical thrombectomy in the same intracranial artery segment. The patient had a history of atrial fibrillation and a mechanical mitral valve replacement. In her first stroke, she had an occlusion of the proximal segment of the right middle cerebral artery; 58 days later, she presented with an occlusion in the same segment of that cerebral artery. In both instances, the thrombus was extracted by a stent retriever with good clinical and radiographic results.
Source: Journal of Stroke and Cerebrovascular Diseases - June 30, 2017 Category: Neurology Authors: Herbert Tejada Meza, Maria Rosario Barrena Caballo, Santiago Guelbenzu Morte, Roberto Mart ínez García, Javier Marta Moreno Tags: Case Studies Source Type: research
Left Upper Lung Lobectomy Is an Embolic Risk Factor for Cerebral Infarction
Cerebral embolism is typically caused by a cardiogenic thrombus. The patent foramen ovale is a well-known cause of paradoxical embolism. However, some idiopathic cases of stroke have been reported. Such strokes are designated as embolic stroke of undetermined sources. Among them, lung lobectomy may be a new embolic risk factor for cerebral embolism. The risk of thrombus formation is high at the pulmonary vein stump after lung lobectomy, especially in the left upper lobe. Interestingly, the risk remains several years after surgery.
Source: Journal of Stroke and Cerebrovascular Diseases - July 19, 2017 Category: Neurology Authors: Yuya Kobayashi, Hiroyuki Yahikozawa, Ryota Takamatsu, Rie Watanabe, Kenichi Hoshi, Wataru Ishii, Shunichi Sato Tags: Case Studies Source Type: research
Acute ophthalmic artery occlusion in a Covid-19 patient on apixaban
We report a case of acute OAO in a young patient with a severe form of Covid-19 infection that was on therapeutic anticoagulation with apixaban for deep venous thrombosis (DVT).
Source: Journal of Stroke and Cerebrovascular Diseases - May 22, 2020 Category: Neurology Authors: Oana M. Dumitrascu, Oksana Volod, Swaraj Bose, Yao Wang, Val érie Biousse, Patrick D. Lyden Source Type: research
Malignant Cerebral Ischemia in A COVID-19 Infected Patient: Case Review and Histopathological Findings
Severe acute respiratory syndrome coronavirus (SARS-CoV-2) is responsible for an unprecedented worldwide pandemic that has severely impacted the United States. As the pandemic continues, a growing body of evidence suggests that infected patients may develop significant coagulopathy with resultant thromboembolic complications including deep vein thrombosis, pulmonary embolism, myocardial infarction, and ischemic stroke. However, this data is limited and comes from recent small case series and observational studies on stroke types, mechanisms, and outcomes.
Source: Journal of Stroke and Cerebrovascular Diseases - August 4, 2020 Category: Neurology Authors: Smit D. Patel, Ryan Kollar, Patrick Troy, Xianyuan Song, Mohammad Khaled, Augusto Parra, Mubashir Pervez Source Type: research
